Lifetest LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIFETEST LLC

Practice address

2455 McDonald Ave
Suite 1-2
Brooklyn, NY 11223-5232

Phone

(718) 336-5109

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Natalia Kalinchenko

Title

Owner

Phone

(718) 336-5109

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1194060871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 MCDONALD AVE",
            "address_2": "SUITE 1- 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235232",
            "telephone_number": "718-336-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 MCDONALD AVE",
            "address_2": "SUITE 1-2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235232",
            "telephone_number": "718-336-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "KALINCHENKO",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-336-5109"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brooklyn, NY
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.