# LAG MD SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699148841
- **Authorized official:** MR. ALEC RUBINS (PRESIDENT)
- **Authorized official phone:** (718) 676-6416

## Contact information

- **Practice address:** 3048 BRIGHTON 1ST ST, BROOKLYN, NY 11235-8080
- **Practice address phone:** (718) 676-6416
- **Practice address fax:** (718) 942-5395
- **Mailing address:** 3048 BRIGHTON 1ST ST, BROOKLYN, NY 11235-8080
- **Mailing address phone:** (718) 676-6416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | 293D00000X | NY | Yes |

## Other

- **Enumeration date:** 11/10/2015
- **Last updated:** 11/10/2015