Active NPI
Lifemap Diagnostic LLC
- Clinical Medical Laboratory
- Williamstown, NJ
National Provider Identifier
1134826324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.