Organization Active NPI

Medlabs Genetics

  • Clinical Medical Laboratory
  • Cedar Knolls, NJ
National Provider Identifier
1871920645
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0007308 Issued in NJ
Legal business name
MEDLABS GENETICS
Practice address
85 Horsehill Rd
Suite 110
Cedar Knolls, NJ 07927-2003
Phone
(973) 419-6828
NPI assigned
Oct 10, 2013
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Mr. Nickolas Mitilenes
Title
Chief Executive Officer
Phone
(908) 723-1098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0007308 NJ Primary

Addresses

Primary practice location

85 Horsehill Rd
Suite 110
Cedar Knolls, NJ 07927-2003

Mailing address

85 Horsehill Rd
Suite 110
Cedar Knolls, NJ 07927-2003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1871920645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HORSEHILL RD",
            "address_2": "SUITE 110",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HORSEHILL RD",
            "address_2": "SUITE 110",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272003",
            "telephone_number": "973-419-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLABS GENETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "MITILENES",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "908-723-1098",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "0007308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.