Active NPI
Medical Laboratory & Pathology Consultants LLC
- Specialist
- Passaic, NJ
National Provider Identifier
1467595876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
- Organization subpart
- Yes
- Parent organization
- MEDICAL LABORATORY AND PATHOLOGY CONSULTANTS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Farhad Setoodeh, MD
- Title
- Owner
- Phone
- (973) 365-4565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NJ | Primary |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055-2840
Mailing address
65 Glenview Rd
South Orange, NJ 07079-1060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8851506 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Part of
- Medical Lab Path Consultan
Locations
70 Parker Ave
Passaic, NJ 07055
Phone (973) 365-5000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Patterson, NJ
- NPI 1700847068
-
- Anatomic Pathology & Clinical Pathology Physician
- Passaic, NJ
- NPI 1831245752
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1558325894
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8851506",
"state": "NJ"
}
],
"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.