Individual provider Active NPI

Laura Kobielski Slagle

  • Pathology Specialist/Technologist
  • Sherman, NY
National Provider Identifier
1356987671
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology Specialist/TechnologistTaxonomy code 246Q00000X
License
016760 Issued in NY
Practice address
2797 Armenian Rd
Sherman, NY 14781-9739
Phone
(716) 775-2001
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pathology Specialist/Technologist 246Q00000X 016760 NY Primary

Addresses

Primary practice location

2797 Armenian Rd
Sherman, NY 14781-9739

Mailing address

2797 Armenian Rd
Sherman, NY 14781-9739
Phone (716) 775-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
016760NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1356987671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 ARMENIAN RD",
            "city": "SHERMAN",
            "state": "NY",
            "postal_code": "147819739",
            "telephone_number": "716-775-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 ARMENIAN RD",
            "city": "SHERMAN",
            "state": "NY",
            "postal_code": "147819739",
            "telephone_number": "716-775-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "LAURA",
        "middle_name": "KOBIELSKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "NY",
            "license": "016760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.