Mineola Medical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1944541 Issued in NY

Legal business name

MINEOLA MEDICAL LABORATORY LLC

Practice address

110 Main St
2ND Floor
Mineola, NY 11501-4014

Phone

(516) 747-2300

Fax

(516) 747-7790

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Afaf MikhailNPI 1821087347

Title

Owner Director

Phone

(516) 747-2300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Afaf Mikhail, MD

  • Dermatopathology Physician
  • Mineola, NY
  • NPI 1821087347
  NPD (past) Authorized official
• Laura Molho

  • Anatomic Pathology Physician
  • Mineola, NY
  • NPI 1538293501
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871582346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014014",
            "telephone_number": "516-747-2300",
            "fax_number": "516-747-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014014",
            "telephone_number": "516-747-2300",
            "fax_number": "516-747-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINEOLA MEDICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "AFAF",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "516-747-2300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "1944541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mineola Ear, Nose & Throat-Head & Neck Associates
• Mineola Eye Center Inc
• Mineola Family Pharmacy Inc.
• Mineola Foot Care, PC
• Mineola Interventional Pain Management PLLC
• Mineola Optical Boutique Inc
• Mineola Pediatrics P.C.
• Mineola Pharmacy Inc.
• Mineola Union Free School District
• Mineola Vision, Inc

• Clinical Medical Laboratory in Mineola, NY
• Providers in Mineola, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.