Active NPI
Xpress Diagnostics Laboratory, LLC
- Clinical Medical Laboratory
- Hackensack, NJ
National Provider Identifier
1548496102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- XPRESS DIAGNOSTICS LABORATORY, LLC
- Practice address
- 38 Summit Ave
Hackensack, NJ 07601-1263 - Phone
- (201) 343-7504
- NPI assigned
- Jun 9, 2009
- Last updated
- May 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marwa Ibrahim
- Title
- Co-Owner
- Phone
- (201) 820-4292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
38 Summit Ave
Hackensack, NJ 07601-1263
Mailing address
38 Summit Ave
2ND Floor
Hackensack, NJ 07601
Phone (201) 820-4292
National Provider Directory
National Provider DirectoryLocations
38 Summit Ave
#2
Hackensack, NJ 07601
Phone (201) 820-4292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495497600000",
"number": "1548496102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 SUMMIT AVE",
"address_2": "2ND FLOOR",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-820-4292",
"fax_number": "201-820-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 SUMMIT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011263",
"telephone_number": "201-343-7504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XPRESS DIAGNOSTICS LABORATORY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-09",
"last_updated": "2017-05-23",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "MARWA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "201-820-4292"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.