Medical Laboratory of Olean

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PFI3746 Issued in NY

Legal business name

MEDICAL LABORATORY OF OLEAN

Practice address

2626 W State St
Olean, NY 14760-1858

Phone

(716) 373-2670

Fax

(716) 373-2673

NPI assigned

Aug 25, 2005

Organization subpart

No

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

Authorized official

Name

Babu A Bhawsar, MA

Title

President

Phone

(716) 373-2670

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MLO Diagnostics Doing business as

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962495812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-373-2670",
            "fax_number": "716-373-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601858",
            "telephone_number": "716-373-2670",
            "fax_number": "716-373-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LABORATORY OF OLEAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHAWSAR",
        "authorized_official_first_name": "BABU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-373-2670",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PFI3746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PFI3746",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014835380001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01200908",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MLO Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Anne McConnaughey, RN
• Gregory Hughes McCraith, DDS
• Alyssa McCutcheon
• Natalie McDowell
• Medfirst Urgent Care,PLLC
• Emily A Meehan
• Jennifer Lynn Meyers, OTA
• Christopher Alki Michaeles, M.D.
• Dawn Marie Miketish, RN
• Anne Miles, LCSW-R

• Clinical Medical Laboratory in Olean, NY
• Providers in Olean, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.