Organization Active NPI

Lifetest LLC

  • Clinical Medical Laboratory
  • Brooklyn, NY
National Provider Identifier
1538416243
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33D2047144 Issued in NY
Legal business name
LIFETEST LLC
Practice address
2455 McDonald Ave
Unit 2
Brooklyn, NY 11223-5232
Phone
(347) 623-3916
NPI assigned
Aug 13, 2012
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Elena Abramyan
Title
Ceo
Phone
(347) 623-3916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33D2047144 NY Primary

Addresses

Primary practice location

2455 McDonald Ave
Unit 2
Brooklyn, NY 11223-5232

Mailing address

2455 McDonald Ave
Unit 2
Brooklyn, NY 11223-5232
Phone (347) 623-3916

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1538416243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 MCDONALD AVE",
            "address_2": "UNIT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235232",
            "telephone_number": "347-623-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 MCDONALD AVE",
            "address_2": "UNIT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235232",
            "telephone_number": "347-623-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "ABRAMYAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-623-3916"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D2047144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.