Organization · Type 2 NPI
Providence Clinical Lab, LLC
Clinical Medical Laboratory · Somerdale, NJ
Practice location
317 Ava Ave
Somerdale, NJ 08083-1603
Fax (856) 435-6067
Mailing address
PO Box 213
Somerdale, NJ 08083-0213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Agency | 251E00000X | 1492292 (NJ) |
| Clinical Medical Laboratory Primary | 291U00000X | 1492292 (NJ) |
Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…
About NPI 1346557022
Providence Clinical Lab, LLC's National Provider Identifier is 1346557022, issued on Sep 1, 2010. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Somerdale, NJ. The record was last updated on Sep 7, 2023.