Excel Medical Lab. Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0003274 Issued in NJ

Legal business name

EXCEL MEDICAL LAB. INC

Doing business as

EVEREST MEDICAL LABORATORY

Practice address

99 Glendale Ave # 107
Edison, NJ 08817-5279

Phone

(732) 777-9222

Fax

(732) 777-9229

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sathish Kothandaram, M.S.

Title

President

Phone

(732) 777-9222

Specialties & licenses 1

Addresses

Other names 1

• EVEREST MEDICAL LABORATORY Doing business as

Locations

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1518155654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-107 GLENDALE AVE.",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088175280",
            "telephone_number": "732-777-9222",
            "fax_number": "732-777-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GLENDALE AVE # 107",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088175279",
            "telephone_number": "732-777-9222",
            "fax_number": "732-777-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MEDICAL LAB. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "KOTHANDARAM",
        "authorized_official_first_name": "SATHISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-777-9222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "0003274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVEREST MEDICAL LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Edison, NJ
• Providers in Edison, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.