Lindenhurst Medical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PFI2316 Issued in NY

Legal business name

LINDENHURST MEDICAL LABORATORY INC

Practice address

103 School Street
Lindenhurst, NY 11757-3710

Phone

(631) 226-2626

Fax

(631) 226-2720

NPI assigned

Nov 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James A Seibert Sr.

Title

President

Phone

(631) 226-2626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306925771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SCHOOL STREET",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573710",
            "telephone_number": "631-226-2626",
            "fax_number": "631-226-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SCHOOL STREET",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573710",
            "telephone_number": "631-226-2626",
            "fax_number": "631-226-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDENHURST MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIBERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-226-2626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PFI2316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DOH",
            "identifier": "PFI2316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.