Active NPI
Consolab Inc
- General Practice Physician
- Wilmington, DE
National Provider Identifier
1689813404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- C10005054
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.