Organization Active NPI

M1 Labs, LLC

  • Clinical Medical Laboratory
  • Columbiana, OH
National Provider Identifier
1942832084
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
M1 LABS, LLC
Practice address
1330 State Route 14
Columbiana, OH 44408
Phone
(330) 892-5191
Fax
(330) 892-5189
NPI assigned
Feb 6, 2020
Last updated
Feb 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Chaz Jannuzi
Title
Owner / Director
Phone
(330) 892-5191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1330 State Route 14
Columbiana, OH 44408

Mailing address

1330 State Route 14
Columbiana, OH 44408
Phone (330) 892-5191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200310001307 OH Part B Supplier - Independent Clinical Laboratory 1951739796 Practice locations: Columbiana, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2176327M1 Labs1330 State Route 14, Columbiana, OH 44408AccreditationFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

1330 State Route 14
Columbiana, OH 44408
Phone (330) 892-5191

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1942832084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 STATE ROUTE 14",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "44408",
            "telephone_number": "330-892-5191",
            "fax_number": "330-892-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 STATE ROUTE 14",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "44408",
            "telephone_number": "330-892-5191",
            "fax_number": "330-892-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M1 LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "JANNUZI",
        "authorized_official_first_name": "CHAZ",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "330-892-5191"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.