NPIMap

Organization Active NPI

JLS Diagnostics

  • Clinical Medical Laboratory
  • Maple Shade, NJ
National Provider Identifier
1871244509
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JLS DIAGNOSTICS
Practice address
115 S Cedar Ave
Level 1
Maple Shade, NJ 08052
Phone
(856) 571-3312
Fax
(800) 418-1917
NPI assigned
Jan 13, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Mrs. Lavon Lashanda Smith, BSN, RNNPI 1508372897
Title
Owner
Phone
(856) 571-3312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

115 S Cedar Ave
Level 1
Maple Shade, NJ 08052

Mailing address

115 S Cedar Ave
Level 1
Maple Shade, NJ 08052
Phone (856) 571-3312

Other names 1

  • N/A Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lasmith@jlsdianostics.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: lasmith@jlsdianostics.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1871244509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S CEDAR AVE",
            "address_2": "LEVEL 1",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "08052",
            "telephone_number": "856-571-3312",
            "fax_number": "800-418-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S CEDAR AVE",
            "address_2": "LEVEL 1",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "08052",
            "telephone_number": "856-571-3312",
            "fax_number": "800-418-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLS DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAVON",
        "authorized_official_middle_name": "LASHANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-571-3312",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lasmith@jlsdianostics.com",
            "affiliation": "N",
            "address_1": "115 S Cedar Ave",
            "address_2": "Level 1",
            "city": "Maple Shade",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maple Shade, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.