Chemisys Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D2098168 Issued in MI

Legal business name

CHEMISYS LABORATORIES, LLC

Practice address

17-01 Pollitt Dr
Fair Lawn, NJ 07410-2801

Phone

(201) 312-6980

Fax

(201) 312-6981

NPI assigned

Jul 16, 2015

Last updated

Dec 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Kamel

Title

President

Phone

(201) 312-6980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1285018523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-01 POLLITT DR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102801",
            "telephone_number": "201-312-6980",
            "fax_number": "201-312-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-01 POLLITT DR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102801",
            "telephone_number": "201-312-6980",
            "fax_number": "201-312-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMISYS LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "KAMEL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-312-6980"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D2098168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Chazen, LMT
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• Clinical Medical Laboratory in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.