Provider Demographics
NPI:1851699615
Name:METROPOLITAN SPECIALTY LABS, INC
Entity Type:Organization
Organization Name:METROPOLITAN SPECIALTY LABS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-979-5670
Mailing Address - Street 1:1551 RICHMOND RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304
Mailing Address - Country:US
Mailing Address - Phone:718-979-5670
Mailing Address - Fax:718-228-5060
Practice Address - Street 1:1551 RICHMOND RD
Practice Address - Street 2:SUITE#101
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304
Practice Address - Country:US
Practice Address - Phone:718-979-5670
Practice Address - Fax:718-228-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33D2018148291U00000X
NY8692291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8692OtherLAB LICENSE