Serenity Diagnostic

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SERENITY DIAGNOSTIC

Doing business as

Serenity Mobile Diagnostics LLC

Practice address

2 Arnot St Ste 6
Lodi, NJ 07644-1630

Phone

(917) 742-8285

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Shakeva Brown-NnajiNPI 1174122865

Title

Ceo

Phone

(917) 742-8285

Specialties & licenses 1

Addresses

Other names 1

• Serenity Mobile Diagnostics LLC Doing business as

Locations

Practitioners 1

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

• Shakeva Brown Nnaji, PHELEBTOMIST

  • Medical Laboratory Technician
  • Bronx, NY
  • NPI 1174122865
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1265293179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ARNOT ST STE 6",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441630",
            "telephone_number": "917-742-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ARNOT ST STE 6",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441630",
            "telephone_number": "917-742-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BROWN-NNAJI",
        "authorized_official_first_name": "SHAKEVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-742-8285"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Mobile Diagnostics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Lodi, NJ
• Providers in Lodi, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.