NPIMap

Organization Active NPI

Labq Clinical Diagnostics, LLC

  • Clinical Medical Laboratory
  • Mount Olive, NJ
National Provider Identifier
1861069692
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABQ CLINICAL DIAGNOSTICS, LLC
Practice address
100International Dr.
Mount Olive, NJ 07828
Phone
(973) 714-6876
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Martin King, PH.D.
Title
Director
Phone
(973) 714-6876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

100International Dr.
Mount Olive, NJ 07828

Mailing address

100International Dr.
Mount Olive, NJ 07828
Phone (973) 714-6876

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1861069692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100INTERNATIONAL DR.",
            "city": "MOUNT OLIVE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-714-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100INTERNATIONAL DR.",
            "city": "MOUNT OLIVE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-714-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABQ CLINICAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-714-6876",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.