Organization Active NPI

American Forensic Toxicology Services LLC

  • Clinical Medical Laboratory
  • Huntington, NY
National Provider Identifier
1417283623
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AMERICAN FORENSIC TOXICOLOGY SERVICES LLC
Practice address
789 Park Ave
Huntington, NY 11743-3912
Phone
(631) 923-0166
Fax
(720) 403-8010
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Sylvia Lynn Freeman
Title
MGR of Credentialing/Enrollment
Phone
(508) 304-7602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

789 Park Ave
Huntington, NY 11743-3912

Mailing address

PO Box 830525
#Owc 29
Birmingham, AL 35283-0525
Phone (508) 304-7602

National Provider Directory

National Provider Directory

Locations

728 Larkfield Rd
East Northport, NY 11731
Phone (516) 776-1340

586 New York Ave
Unit 2
Huntington, NY 11743
Phone (631) 923-0166

789 Park Ave
Huntington, NY 11743
Phone (631) 386-3402

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1417283623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830525",
            "address_2": "#OWC 29",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830525",
            "telephone_number": "508-304-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433912",
            "telephone_number": "631-923-0166",
            "fax_number": "720-403-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FORENSIC TOXICOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MGR OF CREDENTIALING/ENROLLMENT",
        "authorized_official_telephone_number": "508-304-7602"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.