Active NPI
Advanced Clinical Laboratory Solutions,Inc.
- Clinical Medical Laboratory
- Brooklyn, NY
National Provider Identifier
1215219860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ADVANCED CLINICAL LABORATORY SOLUTIONS,INC.
- Practice address
- 2277 83 Coney Island Ave
Room 3B
Brooklyn, NY 11223-3337 - Phone
- (718) 998-9899
- Fax
- (718) 998-9896
- NPI assigned
- Sep 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anatoly Meerovich
- Title
- Director
- Phone
- (718) 998-9899
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2277 83 Coney Island Ave
Room 3B
Brooklyn, NY 11223-3337
Mailing address
2277-83 Coneyisland Ave
Room 3B
Brooklyn, NY 11223-3337
Phone (718) 998-9899
National Provider Directory
National Provider DirectoryLocations
813 Quentin Rd
Ste 205
Brooklyn, NY 11223
Phone (718) 998-9899
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1225393531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430784000000",
"number": "1215219860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2277-83 CONEYISLAND AVE",
"address_2": "ROOM 3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233337",
"telephone_number": "718-998-9899",
"fax_number": "718-998-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2277 83 CONEY ISLAND AVE",
"address_2": "ROOM 3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233337",
"telephone_number": "718-998-9899",
"fax_number": "718-998-9896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CLINICAL LABORATORY SOLUTIONS,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-09",
"last_updated": "2015-05-05",
"status": "A",
"authorized_official_last_name": "MEEROVICH",
"authorized_official_first_name": "ANATOLY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-998-9899"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.