Mfafevllc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MFAFEVLLC

Practice address

201 W Clark St
Stevens Point, WI 54481-3412

Phone

(773) 344-5018

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Faiysal Vahora

Title

Owner

Phone

(773) 344-5018

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John B Lee, M.D

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1043227291
  NPD (past)

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1245988708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6414 N MOZART ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455228",
            "telephone_number": "773-344-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W CLARK ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813412",
            "telephone_number": "773-344-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFAFEVLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "VAHORA",
        "authorized_official_first_name": "FAIYSAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-344-5018"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Menzel, RN
• Sally B Mergendahl, OT
• Scott George Metskas, D.D.S.
• Rachael Mews
• Kaila D Meyer, PA
• Midstate Independent Living Choices, Inc
• Mary Ann Mikus, D.O.
• Emily Miller, ATS, LMT
• Robert A. Miller, LPC, MA
• Evelyn Moore Mills, D.O.

• Clinical Medical Laboratory in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.