Lifecell DX, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PFI # 8376 Issued in NY

Legal business name

LIFECELL DX, INC

Practice address

4455 Genesee St
Suite 25
Buffalo, NY 14225-1928

Phone

(716) 408-3306

Fax

(716) 608-1322

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Lani Burkman, PH.D.

Title

Founder / Chief Science Officer

Phone

(716) 408-3306

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1760710586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 GENESEE ST",
            "address_2": "SUITE 25",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251928",
            "telephone_number": "716-408-3306",
            "fax_number": "716-608-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 GENESEE ST",
            "address_2": "SUITE 25",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251928",
            "telephone_number": "716-408-3306",
            "fax_number": "716-608-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECELL DX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "BURKMAN",
        "authorized_official_first_name": "LANI",
        "authorized_official_title_or_position": "FOUNDER / CHIEF SCIENCE OFFICER",
        "authorized_official_telephone_number": "716-408-3306",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PFI # 8376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DEPARTMENT OF HEALTH",
            "identifier": "PFI # 8376",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "# 33D 1088623",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Lickers, LPN
• Isaiah Liebel, PHARMD
• Kent A Lieber, M. D.
• John Jack Liebner Jr., PT
• Life Transitions Center, Inc.
• Robert M Lifeso, MD
• Theresa M Liffiton, PT
• Matthew Lijewski, PHARMD
• Renee Likong
• Rizwana Lilani, MD

• Clinical Medical Laboratory in Buffalo, NY
• Providers in Buffalo, 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 Dec 7, 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.