Organization Active NPI

My Lab Choice, Inc.

  • Clinical Medical Laboratory
  • East Stroudsburg, PA
National Provider Identifier
1891161311
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MY LAB CHOICE, INC.
Practice address
364 N Courtland St
East Stroudsburg, PA 18301-1930
Phone
(570) 872-9800
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Leonid Kosyakovskiy
Title
Organization Officer
Phone
(570) 872-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

364 N Courtland St
East Stroudsburg, PA 18301-1930

Mailing address

364 North Courtland Street
East Stroudsburg, PA 18301
Phone (570) 872-9800

National Provider Directory

National Provider Directory

Locations

364 N Courtland St
Ste 1
East Stroudsburg, PA 18301
Phone (570) 730-4411

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1891161311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 NORTH COURTLAND STREET",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-872-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 N COURTLAND ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183011930",
            "telephone_number": "570-872-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LAB CHOICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "KOSYAKOVSKIY",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "ORGANIZATION OFFICER",
        "authorized_official_telephone_number": "570-872-9800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.