Lenetix Medical Screening Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LENETIX MEDICAL SCREENING LABORATORY

Practice address

174 Mineola Blvd
Ste 1
Mineola, NY 11501-2513

Phone

(516) 248-0036

Fax

(516) 248-4436

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leonard H Kellner, MS

Title

President & Ceo

Phone

(516) 248-0036

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366487233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MINEOLA BLVD",
            "address_2": "STE 1",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012513",
            "telephone_number": "516-248-0036",
            "fax_number": "516-248-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MINEOLA BLVD",
            "address_2": "STE 1",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012513",
            "telephone_number": "516-248-0036",
            "fax_number": "516-248-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENETIX MEDICAL SCREENING LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLNER",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "516-248-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02698231",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001267",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013885690001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4490741",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2579302",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133379",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Jae Won Lee, MD
• Heather Leeb, D.P.M.
• Ronald Wayne Lehenbauer, DMIN
• Patricia Carol Leistman, MS, RD, CDN
• Matthew John Lemieszewski, PA
• Diane Lillian Lenze, PT
• Steven David Lerner, D.P.M.
• Winter Lesnick
• Samantha Leah Lessen, MD
• Paula Lester, M.D.,

• Clinical Medical Laboratory in Mineola, NY
• Providers in Mineola, 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.