Organization · Type 2 NPI

Rutgers, That State University of New Jersey

Clinical Medical Laboratory · Newark, NJ

NPI number 1699365445 Active

Practice location

225 Warren Street, Rbl 2140
Newark, NJ 07103

Call (973) 972-3170 Map

Fax (973) 972-0795

Mailing address

185 S Orange Ave # MSBF656
Newark, NJ 07103-2757

Specialties and licenses

Taxonomy	Code	License
Molecular Genetic Pathology (Medical Genetics) Physician	207SM0001X	None listed
Clinical Medical Laboratory Primary	291U00000X	None listed

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…

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NPI record

NPI: 1699365445
Entity type: Organization (Type 2)
Issued: Jan 25, 2021
Last updated: Feb 3, 2021
Status: Active
Subpart: Yes of Rutgers, That State University of New Jersey

Other names

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Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab · doing business as
Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab · doing business as

Authorized official

Deanna Streck
Laboratory Supervisor
(973) 972-3170

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699365445

Rutgers, That State University of New Jersey's National Provider Identifier is 1699365445, issued on Jan 25, 2021. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Newark, NJ. The record was last updated on Feb 3, 2021.