Ocean State Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OCEAN STATE LAB LLC

Practice address

1525 Old Louisquisset Pike
Suite 103
Lincoln, RI 02865-4503

Phone

(401) 305-7245

Fax

(401) 305-7698

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Moustafa Moataz AboshadyNPI 1003127655

Title

Sole MBR

Phone

(401) 305-7245

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Moustafa Moataz Aboshady, M.D.

  • Hospitalist Physician
  • Los Alamitos, CA
  • NPI 1003127655
  NPD (past) Authorized official

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1477899649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 OLD LOUISQUISSET PIKE",
            "address_2": "SUITE 103",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654503",
            "telephone_number": "401-305-7245",
            "fax_number": "401-305-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 OLD LOUISQUISSET PIKE",
            "address_2": "SUITE 103",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654503",
            "telephone_number": "401-305-7245",
            "fax_number": "401-305-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "ABOSHADY",
        "authorized_official_first_name": "MOUSTAFA",
        "authorized_official_middle_name": "MOATAZ",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "401-305-7245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chance Nuzum
• Chioma Nwankwo
• Nicole Christine O'Brien, PHARMD, CDOE
• Roberta Ann O'Brien, RN, CDOE
• Ocean State Community Resources, Inc.
• Ocean State of Mind Counseling LLC
• One Lantern Senior Living Group Inc.
• Onewell of Rhode Island, LLC
• Orthopedic Group, Inc.
• Orthopedics Rhode Island, Inc

• Clinical Medical Laboratory in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Clinical Medical Laboratory in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.