Esl Biotech, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ESL BIOTECH, LLC

Practice address

410 Sweet Ivy LN
Lawrenceville, GA 30043-3068

Phone

(678) 448-8320

NPI assigned

Nov 7, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Jones

Title

Ceo

Phone

(678) 448-8320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636243200000",
    "number": "1255096905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SWEET IVY LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433068",
            "telephone_number": "678-448-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SWEET IVY LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433068",
            "telephone_number": "678-448-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESL BIOTECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-448-8320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamere Eshete, FNP
• Jessica Joy Eshleman, PHARMD
• Eshov Surgical Assistant LLC
• Rakhman Eshov, CSA
• Zarifa Eshova, DO
• Gisselle Espaillat
• Ramon Dario Espinal, MD
• Raymond Daniel Espinosa, RPH
• Irene Esquivel, PHARM.D.
• Marcia Lee Essen, P.T.

• Clinical Medical Laboratory in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.