M-Lab Enterprises,LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008755 Issued in IL

Legal business name

M-LAB ENTERPRISES,LTD.

Practice address

2 Termianl Dr. Ste. 15
East Alton, IL 62024

Phone

(618) 258-8610

Fax

(618) 258-8615

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Matthew E. Labertew, D.C.NPI 1699702589

Title

Owner

Phone

(618) 283-2230

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Earl Labertew, DC

  • Chiropractor
  • Vandalia, IL
  • NPI 1699702589
  Medicare reassignment NPD Authorized official
• Jedidiah Cox, DC

  • Chiropractor
  • Vandalia, IL
  • NPI 1104922319
  NPD (past)
• Jacob Funk, D.C.

  • Chiropractor
  • East Alton, IL
  • NPI 1700194750
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1861681207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TERMINAL DR STE 15",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620242268",
            "telephone_number": "618-258-8610",
            "fax_number": "618-258-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TERMIANL DR. STE. 15",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "62024",
            "telephone_number": "618-258-8610",
            "fax_number": "618-258-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M-LAB ENTERPRISES,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "LABERTEW",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-283-2230",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008755",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Lautz
• Jeffrey M Lautz, DMD
• Fei-Tung Leu, MD
• Lincare Inc
• Dana Sue Livingston, RPH
• Mangi Chiropractic & Acupuncture, Inc.
• Andrea M. Mangi
• Michael Todd Massie, D.M.D.
• Matthew J McCullough, DMD, 3 LLC
• Sonia Marie Matthews, MD

• Chiropractor in East Alton, IL
• Providers in East Alton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.