Organization Name: | LAG MD SERVICES INC |
NPI Number: | 1699148841 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEC RUBINS (PRESIDENT) |
Mailing Address: | 3048 Brighton 1st St Brooklyn |
State: | NY US |
Postal Code: | 112358080 |
Phone Number: | 7186766416 |
Fax Number: | 7189425395 |
NPI Enumeration Date: | 11/10/2015 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | 293D00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |