Organization Active NPI

Consolab Inc

  • General Practice Physician
  • Wilmington, DE
National Provider Identifier
1689813404
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C10005054 Issued in DE
Legal business name
CONSOLAB INC
Practice address
1000 N West St
Wilmington, DE 19801-1050
Phone
(818) 915-4014
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Laurie P Cooke, MD
Title
Ceo
Phone
(818) 915-4014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X C10005054 DE Primary

Addresses

Primary practice location

1000 N West St
Wilmington, DE 19801-1050

Mailing address

1000 N West St
Wilmington, DE 19801-1050

National Provider Directory

National Provider Directory

Locations

16045 Sherman Way
Ste H30
Van Nuys, CA 91406

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1689813404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WEST ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WEST ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011050",
            "telephone_number": "818-915-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-915-4014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "DE",
            "license": "C10005054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.