NPI profile
MODERN LABORATORY INCORPORATED
NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.
Identity
- NPI
- 1366612731
- Entity type
- NPI-2
- Primary taxonomy
- 291U00000X
- NPI source updated
- Sep 18, 2014
- Enumeration date
- Mar 03, 2008
- Cache fetched
- May 05, 2026
NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.
OIG LEIE screening
excludedConfidence: high
Exact OIG exclusion match by NPI.
NPI addresses
| Purpose | Address | Phone |
|---|---|---|
| MAILING | 6309338101 | |
| LOCATION | 6309338101 |
FAQ
Practical notes
Does an NPI record validate licensure?
No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.