Roman Vashurov

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ROMAN VASHUROV

Practice address

4 Brighton Rd
Clifton, NJ 07012-1664

Phone

(973) 574-3623

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Roman Vashurov

Title

Owner

Phone

(929) 363-7315

Specialties & licenses 1

Addresses

Other names 1

• LAB X HEALTH PLUS Doing business as

Locations

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1114768025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121664",
            "telephone_number": "973-574-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN VASHUROV",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "VASHUROV",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-363-7315"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAB X HEALTH PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valeria Rodriguez
• Yanela Rodriguez, TSLD
• Roger Warren, DDS, PA
• Larry Lee Rogers
• Esteban Rojas, MSN, FNP-C, CCRN,RRT
• Melinda Roman-Casillas
• Astride Romelus
• Adriana Oksana Ros, D.O.
• Joel W Rosenberg, MD
• Johanna W Rosenfield, LCSW

• Clinical Medical Laboratory in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.