NPI Code Detail JSON Logo

1639057029 NPI number — CONCIERGE BY NRC

NPI Number: 1639057029
Health Care Provider/Practitioner: CONCIERGE BY NRC

Information about “1639057029” NPI (CONCIERGE BY NRC) exists in 1639057029 in HTML format HTML  |  1639057029 in plain Text format TXT  |  1639057029 in PDF (Portable Document Format) PDF  |  1639057029 in an XML format XML  formats.

NPI Number : 1639057029 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639057029",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CONCIERGE BY NRC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1224 MILL ST STE 224",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EAST BERLIN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06023-1159",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "657-566-2588",
    "MailingAddressFaxNumber": "603-392-7786",
    "FirstLinePracticeLocationAddress": "1224 MILL ST STE 224",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST BERLIN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06023-1159",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "657-566-2588",
    "PracticeLocationAddressFaxNumber": "603-392-7786",
    "EnumerationDate": "08/25/2025",
    "LastUpdateDate": "08/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RUSSOTTO",
    "AuthorizedOfficialFirstName": "NELLIE",
    "AuthorizedOfficialMiddleName": "ROSALIE",
    "AuthorizedOfficialTitle": "PHLEBOTOMIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PBT",
    "AuthorizedOfficialTelephoneNumber": "657-566-2588",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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