Complete Lab & Drug Test

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COMPLETE LAB & DRUG TEST

Practice address

4661 Cleveland Ave BLDG a
Columbus, OH 43231-5848

Phone

(614) 269-7612

Fax

(614) 319-5050

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Ismail A Hassan, MLT(ASCP)

Title

Ceo, Co-Founder

Phone

(614) 269-7612

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahamud Hassan

  • Laboratory Management Specialist/Technologist
  • Columbus, OH
  • NPI 1811396740
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1134528052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247824",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432247824",
            "telephone_number": "614-596-7808",
            "fax_number": "614-319-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4661 CLEVELAND AVE BLDG A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432315848",
            "telephone_number": "614-269-7612",
            "fax_number": "614-319-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE LAB & DRUG TEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, CO-FOUNDER",
        "authorized_official_telephone_number": "614-269-7612",
        "authorized_official_credential": "MLT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.