Crescent Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CRESCENT LABORATORY INC

Practice address

435 Creekside Dr # 100
Amherst, NY 14228-2135

Phone

(716) 903-4277

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Jaweed Shariff

Title

Managing Director

Phone

(732) 277-0603

Specialties & licenses 1

Addresses

Other names 1

• CRESCENT LABORATORY INC Doing business as

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1386223154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CREEKSIDE DR # 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282135",
            "telephone_number": "716-777-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CREEKSIDE DR # 100",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282135",
            "telephone_number": "716-903-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "SHARIFF",
        "authorized_official_first_name": "JAWEED",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "732-277-0603"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRESCENT LABORATORY INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CRESCENT LABORATORY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Amherst, NY
• Providers in Amherst, 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 Jul 20, 2023; 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.