GJL Medical Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2317 Issued in NY

Legal business name

GJL MEDICAL LABORATORIES, INC.

Practice address

271 Jericho Tpke
Floral Park, NY 11001-2146

Phone

(516) 326-0700

Fax

(516) 616-4581

NPI assigned

Jan 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Josephine F. Bannerjee, M.D.NPI 1942306436

Title

Director

Phone

(516) 326-0700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josephine F Bannerjee, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Floral Park, NY
  • NPI 1942306436
  Authorized official Same address or phone

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134107972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 JERICHO TPKE",
            "address_2": "PO BOX 540",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012146",
            "telephone_number": "516-326-0700",
            "fax_number": "516-616-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012146",
            "telephone_number": "516-326-0700",
            "fax_number": "516-616-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJL MEDICAL LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANNERJEE",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-326-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Floral Park, NY
• Providers in Floral Park, 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 Aug 22, 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.