L&M Lab Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

L&M LAB CORP

Practice address

2960 Ocean Ave Ste 5
Brooklyn, NY 11235-3286

Phone

(718) 759-6568

Fax

(718) 759-6569

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Lola Nisan

Title

Owner

Phone

(718) 759-6568

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1932589041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 DAVIDSON AVE STE 104",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734144",
            "telephone_number": "718-759-6568",
            "fax_number": "718-759-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 OCEAN AVE STE 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353286",
            "telephone_number": "718-759-6568",
            "fax_number": "718-759-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&M LAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "NISAN",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-759-6568"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D2077603",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "33D2077603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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