Astraclinicallaboratoryinc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

33D0713273 Issued in NY

Legal business name

ASTRACLINICALLABORATORYINC

Practice address

5816 Junction Blvd
F3
Rego Park, NY 11373-5155

Phone

(718) 592-8948

Fax

(718) 592-8949

NPI assigned

Mar 7, 2007

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Eleanor Reyes Bariso, MTASCP

Title

President

Phone

(718) 592-8948

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1518098235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 JUNCTION BLVD",
            "address_2": "F3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113735155",
            "telephone_number": "718-592-8948",
            "fax_number": "718-592-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 JUNCTION BLVD",
            "address_2": "F3",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113735155",
            "telephone_number": "718-592-8948",
            "fax_number": "718-592-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRACLINICALLABORATORYINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "BARISO",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-592-8948",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MTASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D0713273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.