Organization Active NPI

Centrex Clin Labs Inc

  • Clinical Medical Laboratory
  • New Hartford, NY
National Provider Identifier
1639590730
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
PFI2205 Issued in NY
Legal business name
CENTREX CLIN LABS INC
Practice address
28 Campion Rd
New Hartford, NY 13413-1602
Phone
(315) 624-5916
Fax
(315) 724-1300
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Elizabeth A Parker
Title
Manager of Ar
Phone
(315) 624-5916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X PFI2205 NY Primary

Addresses

Primary practice location

28 Campion Rd
New Hartford, NY 13413-1602

Mailing address

28 Campion Rd
New Hartford, NY 13413-1602
Phone (315) 624-5916

National Provider Directory

National Provider Directory

Locations

28 Campion Rd
New Hartford, NY 13413
Phone (315) 624-5916

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1639590730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CAMPION RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131602",
            "telephone_number": "315-624-5916",
            "fax_number": "315-724-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CAMPION RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131602",
            "telephone_number": "315-624-5916",
            "fax_number": "315-724-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTREX CLIN LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER OF AR",
        "authorized_official_telephone_number": "315-624-5916"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PFI2205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.