Organization Active NPI

Mdcoo, LLC

  • Clinical Medical Laboratory
  • Woodmere, NY
National Provider Identifier
1811219694
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MDCOO, LLC
Practice address
1122 Broadway
Suite 2a
Woodmere, NY 11598-1242
Phone
(516) 239-7093
Fax
(516) 239-7193
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Aaron Felder
Title
President
Phone
(516) 239-7093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1122 Broadway
Suite 2a
Woodmere, NY 11598-1242

Mailing address

15 Lord Ave
Suite 1
Lawrence, NY 11559-1321
Phone (516) 239-7093

Other names 1

  • AllPath, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1122 Broadway
Ste 2A
Woodmere, NY 11598
Phone (516) 239-7093

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1811219694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LORD AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591321",
            "telephone_number": "516-239-7093",
            "fax_number": "516-239-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 BROADWAY",
            "address_2": "SUITE 2A",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981242",
            "telephone_number": "516-239-7093",
            "fax_number": "516-239-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDCOO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "FELDER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-239-7093"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllPath, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.