Alliance Diagnostic Laboratory Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALLIANCE DIAGNOSTIC LABORATORY CORP

Practice address

215 Thompson St Ste 125
New York, NY 10012-1360

Phone

(347) 756-5779

Fax

(718) 423-0434

NPI assigned

Dec 20, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Richard Abrazi

Title

President

Phone

(347) 756-5779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1104398759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 THOMPSON ST STE 125",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 THOMPSON ST STE 125",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121360",
            "telephone_number": "347-756-5779",
            "fax_number": "718-423-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DIAGNOSTIC LABORATORY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "ABRAZI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-756-5779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Allgood, BCBA, LBA, ASW
• Allia Medical Services East PC
• Alliance Cardiovascular Care PLLC
• Alliance Care Management Ipa LLC
• Alliance Dental Arts, P.C.
• Alliance Medical &Wellness PLLC
• Alliance Medical Care PC
• Alliance Nursing Staffing of New York, Inc.
• Khadijatu Allie
• Yvonne I Allie, LCAT, NYPSYA

• Clinical Medical Laboratory in New York, NY
• Providers in New York, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.