Med Bar LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MED BAR LLC

Practice address

106 Fieldcrest Road
Charleston, WV 25314

Phone

(646) 933-5677

NPI assigned

Nov 19, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fahad Bafakih

Title

Director

Phone

(646) 933-5677

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1043813108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CHURCH ST UNIT 7080",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100089770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FIELDCREST ROAD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25314",
            "telephone_number": "646-933-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BAFAKIH",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-933-5677"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.medbarhealth.com/",
            "affiliation": "N",
            "address_1": "90 Church St Unit 7080",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100089770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Medical Laboratory in Charleston, WV
• Providers in Charleston, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.