Professional Clinical Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

3660 Issued in NY

Legal business name

PROFESSIONAL CLINICAL LABORATORIES

Practice address

16 E 52ND St
Suite 303
New York, NY 10022-5306

Phone

(212) 751-7500

Fax

(212) 751-7586

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Febles

Title

Director of Operations

Phone

(212) 751-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• professional clinical laboratories Doing business as

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1386747525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 EAST 52ND STREET",
            "address_2": "SUITE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225306",
            "telephone_number": "212-751-7500",
            "fax_number": "212-751-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 52ND ST",
            "address_2": "SUITE 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225306",
            "telephone_number": "212-751-7500",
            "fax_number": "212-751-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CLINICAL LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "FEBLES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "212-751-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "3660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D0130775",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PFI #",
            "identifier": "3660",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "professional clinical laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Peter Procopio, PT, DPT
• Amber Proctor-Reyes, PHD
• Lenore F Proctor, PSYD
• Iordanka P Prodanova, DDS
• Professional Car Service
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• Professional Medical Healthcare Service of New York

• Clinical Medical Laboratory in New York, NY
• Providers in New York, 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 Dec 4, 2008; 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.