Ibr Specialty Clinical Laboratories

LBN: State Of New York
Ibr Specialty Clinical Laboratories is an health care organization with primary practice located at 1050 Forest Hill Rd , Staten Island NY 10314-6356. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. State Of New York can be contacted via phone (718) 494-5345, or through Jenkins, Edmund C. via phone (718) 494-5236.

Contact Information

Primary practice address
1050 Forest Hill Rd Staten Island NY 10314-6356
Phone: (718) 494-5345
Fax: (718) 494-0694
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Edmund C. PHD
Phone: (718) 494-5236

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 7097M040 New York

Profile Details

NPI number 1962579235
LBN Legal business name State Of New York
DBA Doing business as Ibr Specialty Clinical Laboratories
Authorized official Jenkins, Edmund C. PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Feb 25th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962579235 NPPES
Other 33D0860102 CLIA
MEDICAID 00782518 CLIA
Other 7097M040 CLIA

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