{"npi":"1194782938","type":"NPI-2","status":"active","name":{"display":"Upstate Vascular Study Lab, INC","other":[],"organization_name":"UPSTATE VASCULAR STUDY LAB, INC","authorised_official":"Tiffany Burgen"},"specialty":{"primary_taxonomy":"293D00000X","primary_taxonomy_description":"Physiological Laboratory","slug":"physiological-laboratory","schema_org_specialty":null,"all":[{"code":"293D00000X","description":"Physiological Laboratory","primary":true,"state":"NY","license":"124377"}]},"addresses":[{"purpose":"LOCATION","street_1":"2655 RIDGEWAY AVENUE","city":"ROCHESTER","state":"NY","postal_code":"14626","country_code":"US","street_2":"SUITE # 260","phone":"5857200818","fax":"5857205427"},{"purpose":"MAILING","street_1":"2655 RIDGEWAY AVENUE","city":"ROCHESTER","state":"NY","postal_code":"14626","country_code":"US","street_2":"SUITE # 260","phone":"5857200818","fax":"5857205427"}],"license":{"state":"NY","number":"124377"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00446135","state":"NY","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-04-26","last_updated":"2012-02-06","_meta":{"source":"NPPES","snapshot_date":"2012-02-06","doc_url":"https://findmynpi.com/api"}}