Active NPI
Mab Industries LLC
- Clinical Medical Laboratory
- Elmont, NY
National Provider Identifier
1811653660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MAB INDUSTRIES LLC
- Practice address
- 89 Hendrickson Ave
Elmont, NY 11003-1205 - Phone
- (917) 582-7968
- NPI assigned
- Nov 15, 2021
- 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
- Mohammad Babar
- Title
- Owner
- Phone
- (917) 582-7968
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| General Practice Physician | 208D00000X | |||
| Clinic/Center | 261Q00000X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
89 Hendrickson Ave
Elmont, NY 11003-1205
Mailing address
89 Hendrickson Ave
Elmont, NY 11003-1205
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642032000000",
"number": "1811653660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 HENDRICKSON AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 HENDRICKSON AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110031205",
"telephone_number": "917-582-7968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAB INDUSTRIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-15",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A",
"authorized_official_last_name": "BABAR",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-582-7968"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.