Enzol Alliance Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ENZOL ALLIANCE LAB, LLC

Doing business as

Enzol Alliance Lab, LLC

Practice address

10 Montgomery Dr Ste 2
North East, MD 21901-3815

Phone

(410) 398-3445

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Zebun Nisa

Title

Office Manager

Phone

(410) 398-3445

Specialties & licenses 1

Addresses

Other names 1

• Enzol Alliance Lab, LLC Doing business as

Locations

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1942777636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197010710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MONTGOMERY DR STE 2",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013815",
            "telephone_number": "410-398-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENZOL ALLIANCE LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "NISA",
        "authorized_official_first_name": "ZEBUN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-398-3445",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enzol Alliance Lab, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Marie Durrett, LCPC
• Drew Christopher Eckman, D.D.S.
• Christine Egli, LMSW
• Lauren Ann Clifford Engler, PHARM.D.
• Corinne Marie Ennis
• Heather Estle-Young
• Janice Leslie Fairchild, MS
• Fast Care Medical Aid Unit, LLC (Got A Doc)
• Brenda Fitzgerald
• Flourish Counseling LLC

• Clinical Medical Laboratory in North East, MD
• Providers in North East, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.