Macrolab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

39D2016029 Issued in PA

Legal business name

MACROLAB LLC

Practice address

1310 Industrial Hwy
Suite 203
Southampton, PA 18966-4030

Phone

(267) 978-1993

NPI assigned

Nov 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. George Sedrakyan, MD

Title

Medical Director

Phone

(267) 978-1993

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Exclusive Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Exclusive Health Services LLC

  • Urgent Care Clinic/Center
  • Alexandria, VA
  • NPI 1518261064
  NPD tax ID

Locations

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

{
    "created_epoch": "1290729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290729600000",
    "number": "1881996775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 INDUSTRIAL HWY",
            "address_2": "SUITE 203",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664030",
            "telephone_number": "267-978-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 INDUSTRIAL HWY",
            "address_2": "SUITE 203",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664030",
            "telephone_number": "267-978-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACROLAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-26",
        "last_updated": "2010-11-26",
        "status": "A",
        "authorized_official_last_name": "SEDRAKYAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "267-978-1993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D2016029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "39D2016029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LNC Health Ventures LLC
• Glen E Loeser, O.D.
• Thomas James Loveless, MSN, CRNP, PHD
• Faye Lovrinic, PSY.D.
• Emma Luke, MS, OTR/L
• Magnus Home Care LLC
• Dennis Magrann
• Nargiza Mahmudova, DPM
• Joseph John Maio, DC
• Nicholas Joseph Maio, D.C.

• Clinical Medical Laboratory in Southampton, PA
• Providers in Southampton, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; 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.