Organization Active NPI

Prost Data Inc

  • Clinical Medical Laboratory
  • Bellerose, NY
National Provider Identifier
1245472380
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PROST DATA INC
Practice address
8248 243Rd St
Bellerose, NY 11426-1322
Phone
(615) 874-0410
NPI assigned
Apr 6, 2009
Organization subpart
Yes
Parent organization
PROST DATA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Dr. Jonathan Oppenheimer
Title
Owner
Phone
(615) 874-0410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8248 243Rd St
Bellerose, NY 11426-1322

Mailing address

PO Box 291209
Nashville, TN 37229-1209

Other identifiers 1

IdentifierTypeStateIssuer
33D1085936OtherCLIA

Other names 1

  • OUR Lab Doing business as

National Provider Directory

National Provider Directory
Part of
Jonathan R Oppenheimer

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1245472380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291209",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372291209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8248 243RD ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261322",
            "telephone_number": "615-874-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROST DATA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROST DATA INC",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIMER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-874-0410",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "33D1085936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUR Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.