Organization Active NPI

Energy Renewal Revolutionized Unltd. LLC

  • Diplomate Laboratory Management Specialist/Technologist
  • Bronx, NY
National Provider Identifier
1972458909
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diplomate Laboratory Management Specialist/TechnologistTaxonomy code 246QL0901X
Legal business name
ENERGY RENEWAL REVOLUTIONIZED UNLTD. LLC
Practice address
1039 Washington Ave
Bronx, NY 10456
Phone
(833) 912-3998
Fax
(929) 644-6597
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Mr. David Lamar Hall
Title
Principal Investigator
Phone
(929) 909-1468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diplomate Laboratory Management Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246QL0901X Primary

Addresses

Primary practice location

1039 Washington Ave
Bronx, NY 10456

Mailing address

1039 Washington Ave
Bronx, NY 10456
Phone (833) 912-3998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1972458909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "833-912-3998",
            "fax_number": "929-644-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "833-912-3998",
            "fax_number": "929-644-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY RENEWAL REVOLUTIONIZED UNLTD. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "PRINCIPAL INVESTIGATOR",
        "authorized_official_telephone_number": "929-909-1468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246QL0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management, Diplomate",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.