MEDICARE: MEDLAB INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	LAP 34286	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366468027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDLAB INC

Provider Business Mailing Address
First Line	:	600 CAYUGA RD
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-1305
Country	:	US
Telephone Number	:	716-633-8001
Fax Number	:	716-276-8853

Provider Business Practice Location Address
First Line	:	600 CAYUGA RD
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-1305
Country	:	US
Telephone Number	:	716-633-8001
Fax Number	:	716-276-8853

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DANIELLE NEUREUTER
Credential	:
Telephone Number	:	716-633-8001

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	04/07/2026

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Directions to “MEDLAB INC ” Practice Location

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