Mirimus, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MIRIMUS, INC.

Practice address

760 Parkside Ave Ste 206
Brooklyn, NY 11226-1785

Phone

(929) 377-3744

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Prem Premsrirut

Title

Founder & Ceo

Phone

(929) 377-3744

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1235894148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 PARKSIDE AVE STE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261785",
            "telephone_number": "929-377-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PARKSIDE AVE STE 206",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261785",
            "telephone_number": "929-377-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIMUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "PREMSRIRUT",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "929-377-3744"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D2185028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Mirer, PTA
• Anna Miretsky, LMSW
• Frank Mirharoon, D.D.S
• Miriam Gordon Pediatric NP PC
• Miriam Levy Licensed Behavior Analyst PC
• Ananya Mirji
• Boris A. Mirkin
• Nina Mirkin, LMSW
• Susanna Mirkin
• Michelle Renee Mirlas, MS

• Clinical Medical Laboratory in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.