My Lab Choice, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MY LAB CHOICE, INC

Practice address

391 East Brown Street, Lower Level
East Stroudsburg, PA 18301

Phone

(570) 730-4411

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Leonid Kosyakovskiy

Title

Owner

Phone

(570) 730-4411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1205369451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 N COURTLAND ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011930",
            "telephone_number": "570-730-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 EAST BROWN STREET, LOWER LEVEL",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-730-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LAB CHOICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "KOSYAKOVSKIY",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-730-4411"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MRI Diagnoistic and Imaging Center
• Anthony Francis Mullen, DCM(P), RCP(PA)
• Nicholas Giovanni Musa
• John Tyler Muttel
• MVM Health LLC
• My Lab Choice, Inc.
• Murhaf Eissa Naddour, MD
• Edinson Abel Najera Aguilar, MD
• Hikaru Nakajima, M.D.
• Tayler Nalesnik

• Clinical Medical Laboratory in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.