Organization · Type 2 NPI

State of New York

Clinical Medical Laboratory · Staten Island, NY

NPI number 1962579235 Active

Practice location

1050 Forest Hill Rd
Staten Island, NY 10314-6356

Fax (718) 494-0694

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000X7097M040 (NY)

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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About NPI 1962579235

State of New York's National Provider Identifier is 1962579235, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 25, 2009.