Organization Active NPI

Lifemap Diagnostic LLC

  • Clinical Medical Laboratory
  • Williamstown, NJ
National Provider Identifier
1134826324
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LIFEMAP DIAGNOSTIC LLC
Practice address
375 N Main St Ste C4
Williamstown, NJ 08094-1476
Phone
(732) 309-7098
NPI assigned
Feb 8, 2023
Organization subpart
Yes
Parent organization
HEALTH SERVE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Mr. Mohamed M Bah
Title
Ceo
Phone
(732) 309-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

375 N Main St Ste C4
Williamstown, NJ 08094-1476

Mailing address

375 N Main St Ste C4
Williamstown, NJ 08094-1476
Phone (732) 309-7098

National Provider Directory

National Provider Directory
Part of
Health Serve LLC

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1134826324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE C4",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941476",
            "telephone_number": "732-309-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE C4",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941476",
            "telephone_number": "732-309-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMAP DIAGNOSTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH SERVE, LLC",
        "enumeration_date": "2023-02-08",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-309-7098",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.