Organization Active NPI

Xpress Diagnostics Laboratory, LLC

  • Clinical Medical Laboratory
  • Hackensack, NJ
National Provider Identifier
1548496102
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.