Organization Active NPI

Lab X Health LLC

  • Clinical Medical Laboratory
  • Clifton, NJ
National Provider Identifier
1548896996
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LAB X HEALTH LLC
Practice address
4 Brighton Rd Ste 308
Clifton, NJ 07012-1665
Phone
(973) 574-3623
Fax
(973) 591-1410
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Mr. Mark Stryjewski
Title
Owner
Phone
(815) 322-3858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4 Brighton Rd Ste 308
Clifton, NJ 07012-1665

Mailing address

4 Brighton Rd Ste 308
Clifton, NJ 07012-1665
Phone (973) 574-3623

Other identifiers 1

IdentifierTypeStateIssuer
31D2178650OtherNJCLIA #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Maria@labx-health.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2134396Everside Health LLC, Clifton Brighton Road4 Brighton Road, Suite 208, Clifton, NJ 07012Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1548896996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 308",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121665",
            "telephone_number": "973-574-3623",
            "fax_number": "973-591-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRIGHTON RD STE 308",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121665",
            "telephone_number": "973-574-3623",
            "fax_number": "973-591-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB X HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "STRYJEWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-322-3858",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "31D2178650",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maria@labx-health.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Brighton Rd Ste 308",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070121665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.