Active NPI
Axzons Laboratories Corp
- Clinical Medical Laboratory
- Terre Haute, IN
National Provider Identifier
1194230243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 15D2140836
- Legal business name
- AXZONS LABORATORIES CORP
- Practice address
- 3903 S 7TH St Ste 2C
Terre Haute, IN 47802-5710 - Phone
- (516) 777-0612
- NPI assigned
- Dec 12, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Sandeep Kalra, MD
- Title
- President
- Phone
- (516) 777-0612
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 15D2140836 | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3903 S 7TH St Ste 2C
Terre Haute, IN 47802-5710
Mailing address
38 Grove St
Garden City, NY 11530-6632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2020.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590624000000",
"number": "1194230243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 GROVE ST",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115306632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 S 7TH ST STE 2C",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478025710",
"telephone_number": "516-777-0612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXZONS LABORATORIES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-12",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A",
"authorized_official_last_name": "KALRA",
"authorized_official_first_name": "SANDEEP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-777-0612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IN",
"license": "15D2140836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.