Organization
LENETIX MEDICAL SCREENING LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD H KELLNER MS (PRESIDENT & CEO)
(516) 248-0036
Entity
Organization
Contact information
Practice address
174 MINEOLA BLVD, STE 1, MINEOLA, NY 11501-2513
(516) 248-0036
(516) 248-4436
Mailing address
174 MINEOLA BLVD, STE 1, MINEOLA, NY 11501-2513
(516) 248-0036
(516) 248-4436
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02698231
—
NY
05
—
1013885690001
—
PA
05
—
2579302
—
OH
05
—
3133379
—
CT
05
—
4490741
—
TN
05
—
7001267
—
NC
Enumeration date
06/17/2006
Last updated
08/22/2020
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