Active NPI
Laboratory Excellence Concierge Services LLC
Doing business as Laboratory Excellence Concierge Services
- Phlebotomy Technician
- Egg Harbor City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilyasah Johnson, CPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.