Shiel Medical Laboratory, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

3709 Issued in NY

Legal business name

SHIEL MEDICAL LABORATORY, INC

Doing business as

Shiel Medical Laboratory, Inc

Practice address

63 Flushing Ave
Unit 336
Brooklyn, NY 11205-1005

Phone

(718) 552-1000

Fax

(718) 875-5017

NPI assigned

Aug 23, 2005

Last updated

Nov 19, 2007By 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

Ms. Gitty Kohn

Title

Administrative Director

Phone

(718) 552-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shiel Medical Laboratory, Inc Doing business as

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1750374088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FLUSHING AVE",
            "address_2": "UNIT 336",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051005",
            "telephone_number": "718-552-1000",
            "fax_number": "718-875-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FLUSHING AVE",
            "address_2": "UNIT 336",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051005",
            "telephone_number": "718-552-1000",
            "fax_number": "718-875-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIEL MEDICAL LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "GITTY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "718-552-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0016539",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAID #",
            "identifier": "5127807",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiel Medical Laboratory, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zhengzhuan Shi, MD
• Jacqueline Shibata, MD
• Michael Shick, OTR
• Adarsh M Shidhaye, MD
• Shiel Holdings LLC (Shiel Medical Laboratory)
• John Martin Shields, M.D.
• Khadine Kenesha Shields, RN
• Patrice Shields, LMSW
• Susan Shields, O.D
• Mark Shif, M.D.

• Clinical Medical Laboratory in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 19, 2007; 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.