NPIMap

Organization Active NPI

Tri-State Labs Management Inc

  • Clinical Medical Laboratory
  • Bronx, NY
National Provider Identifier
1154077998
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TRI-STATE LABS MANAGEMENT INC
Practice address
708 Allerton Ave
Bronx, NY 10467-8218
Phone
(646) 963-3357
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Authorized official

Name
Mr. Mohmmad IgbaraNPI 1245982248
Title
Owner
Phone
(917) 488-3113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
In Home Supportive Care Agency 253Z00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

708 Allerton Ave
Bronx, NY 10467-8218

Mailing address

708 Allerton Ave
Bronx, NY 10467-8218

Other names 1

  • tri-state labs management inc Doing business as

National Provider Directory

National Provider Directory

Locations

708 Allerton Ave
Bronx, NY 10467
Phone (646) 963-3357

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727481600000",
    "number": "1154077998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678218",
            "telephone_number": "646-963-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE LABS MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A",
        "authorized_official_last_name": "IGBARA",
        "authorized_official_first_name": "MOHMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-488-3113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tri-state labs management inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "tri-state labs management inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.