Provider Demographics
NPI:1811219694
Name:MDCOO, LLC
Entity Type:Organization
Organization Name:MDCOO, LLC
Other - Org Name:ALLPATH, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-239-7093
Mailing Address - Street 1:15 LORD AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1321
Mailing Address - Country:US
Mailing Address - Phone:516-239-7093
Mailing Address - Fax:516-239-7193
Practice Address - Street 1:1122 BROADWAY
Practice Address - Street 2:SUITE 2A
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1242
Practice Address - Country:US
Practice Address - Phone:516-239-7093
Practice Address - Fax:516-239-7193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory