Organization Active NPI

Medical Laboratory & Pathology Consultants LLC

  • Specialist
  • Passaic, NJ
National Provider Identifier
1467595876
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MEDICAL LABORATORY & PATHOLOGY CONSULTANTS LLC
Practice address
350 Boulevard
Passaic, NJ 07055-2840
Phone
(973) 365-4595
NPI assigned
Feb 15, 2007
Last updated
Jun 6, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL LABORATORY AND PATHOLOGY CONSULTANTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Dr. Farhad Setoodeh, MDNPI 1174678916
Title
Owner
Phone
(973) 365-4565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

350 Boulevard
Passaic, NJ 07055-2840

Mailing address

65 Glenview Rd
South Orange, NJ 07079-1060

National Provider Directory

National Provider Directory
Part of
Medical Laboratory Patholo

Locations

70 Parker Ave
Passaic, NJ 07055
Phone (973) 365-5000

Practitioners & affiliated clinicians

Practitioners 4

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1467595876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GLENVIEW RD",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LABORATORY & PATHOLOGY CONSULTANTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL LABORATORY AND PATHOLOGY CONSULTANTS LLC",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "SETOODEH",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-365-4565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.