Organization Active NPI

Opko Lab, LLC

  • Clinical Medical Laboratory
  • Woodmere, NY
National Provider Identifier
1366885618
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33D2034649 Issued in NY
Legal business name
OPKO LAB, LLC
Practice address
326 Barr Ave
Woodmere, NY 11598-1137
Phone
(516) 569-1841
Fax
(615) 345-4653
NPI assigned
Apr 16, 2013
Organization subpart
Yes
Parent organization
OPKO LAB, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Miss Tatiana Feinberg
Title
Operations Manager
Phone
(615) 874-0410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33D2034649 NY Primary

Addresses

Primary practice location

326 Barr Ave
Woodmere, NY 11598-1137

Mailing address

1450 Elm Hill Pike
Nashville, TN 37210-4531
Phone (615) 874-7041

National Provider Directory

National Provider Directory
Tax ID family
Opko Lab LLC2 organizations share this tax ID, including this one
Part of
Opko Lab LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1366885618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372104531",
            "telephone_number": "615-874-7041",
            "fax_number": "615-345-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 BARR AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981137",
            "telephone_number": "516-569-1841",
            "fax_number": "615-345-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPKO LAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPKO LAB, LLC",
        "enumeration_date": "2013-04-16",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "615-874-0410",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D2034649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.