Organization Active NPI

Laboratory Excellence Concierge Services LLC

Doing business as Laboratory Excellence Concierge Services

  • Phlebotomy Technician
  • Egg Harbor City, NJ
National Provider Identifier
1437960549
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
LABORATORY EXCELLENCE CONCIERGE SERVICES LLC
Doing business as
Laboratory Excellence Concierge Services
Practice address
115 Philadelphia Ave
Ste B #224
Egg Harbor City, NJ 08215
Phone
(856) 202-6243
NPI assigned
Jan 17, 2025
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Ilyasah Johnson, CPTNPI 1326859570
Title
Owner
Phone
(609) 405-5974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

115 Philadelphia Ave
Ste B #224
Egg Harbor City, NJ 08215

Mailing address

890 E Walnut Rd Apt 38
Vineland, NJ 08360-5040
Phone (609) 405-5974

Other names 1

  • Laboratory Excellence Concierge Services Doing business as

National Provider Directory

National Provider Directory

Locations

115 Philadelphia Ave
Ste B
Egg Harbor City, NJ 08215
Phone (856) 202-6243

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1437960549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E WALNUT RD APT 38",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605040",
            "telephone_number": "609-405-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PHILADELPHIA AVE",
            "address_2": "STE B #224",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "08215",
            "telephone_number": "856-202-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY EXCELLENCE CONCIERGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ILYASAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-405-5974",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratory Excellence Concierge Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.