Organization Active NPI

Axzons Laboratories Corp

  • Clinical Medical Laboratory
  • Terre Haute, IN
National Provider Identifier
1194230243
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
15D2140836 Issued in IN
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 15D2140836 IN Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.