Specialized Screening Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

33D1092705 Issued in NY

Legal business name

SPECIALIZED SCREENING SERVICES

Practice address

10 Saratoga Dr
Jericho, NY 11753-1430

Phone

(877) 727-3365

Fax

(914) 509-5438

NPI assigned

Aug 13, 2012

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Lustberg

Title

Presudent

Phone

(878) 727-3365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1558618272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SARATOGA DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SARATOGA DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531430",
            "telephone_number": "877-727-3365",
            "fax_number": "914-509-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SCREENING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "LUSTBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESUDENT",
        "authorized_official_telephone_number": "878-727-3365"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D1092705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Jericho, NY
• Providers in Jericho, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.