Organization · NPI-2
Advanced Pathology Laboratory LLC
Clinical Medical Laboratory · Brooklyn, NY
NPI number1427424993
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1427424993
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pathology Laboratory LLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2015
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 207ZP0105X | Pathology, Clinical Pathology/Laboratory Medicine | – | – | |
| 291U00000X | Clinical Medical Laboratory | 181348 | NY |
Other names
- Lux Enterprises (Doing Business As)
- Apl (Doing Business As)
Practice location
315 Meserole St Ste B3Brooklyn, NY 11206-1765
Phone 516-457-1806
Mailing address
13 Corporate Blvd Ne Ste 250Brookhaven, GA 30329-1901
Phone 516-457-1806
Authorized official
Jonathan Goss
President
7138196417
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