Unlimited Lab LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

UNLIMITED LAB LLC

Practice address

14 Capitol Reef Rd
Howell, NJ 07731-9005

Phone

(732) 351-0024

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Bielka Kwiatkowski, PBT

Title

Phlebotomy Tech

Phone

(732) 351-0024

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1629653514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CAPITOL REEF RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077319005",
            "telephone_number": "732-351-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CAPITOL REEF RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077319005",
            "telephone_number": "732-351-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "KWIATKOWSKI",
        "authorized_official_first_name": "BIELKA",
        "authorized_official_title_or_position": "PHLEBOTOMY TECH",
        "authorized_official_telephone_number": "732-351-0024",
        "authorized_official_credential": "PBT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "7323510024",
            "identifier": "7323510024",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ulab1@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Mobile Phlebotomy services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14 Capitol Reef Rd",
            "city": "Howell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077319005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.