Lincoln Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

8315 Issued in NY

Legal business name

LINCOLN DIAGNOSTICS LLC

Doing business as

Lincoln Reference Laboratory

Practice address

1023 Commerce Ave
Union, NJ 07083-5025

Phone

(908) 583-5421

Fax

(908) 487-6492

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Andalis Leonardo

Title

Ceo

Phone

(484) 347-6564

Specialties & licenses 1

Addresses

Other names 1

• Lincoln Reference Laboratory Doing business as

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Manjula Vara, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Linden, NJ
  • NPI 1932143112
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1194971085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 COMMERCE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835025",
            "telephone_number": "908-583-5421",
            "fax_number": "908-487-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 COMMERCE AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835025",
            "telephone_number": "908-583-5421",
            "fax_number": "908-487-6492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 Utica Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032210",
            "country_code": "US",
            "telephone_number": "908-583-5421",
            "fax_number": "908-487-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINCOLN DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "LEONARDO",
        "authorized_official_first_name": "ANDALIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-347-6564"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "8315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adam Craig Lipson, MD
• Yjie Llagas, DNP,APN,AGPC-C
• Susan Lobaton-Palacios, D.M.D.
• Ronald Lewis Loewinger, D.M.D.
• Sabato Lombardo, M.D

• Clinical Medical Laboratory in Union, NJ
• Providers in Union, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.