# QURBAN DIAGNOSTIC LAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760765564
- **Authorized official:** MR. IRFAN AHMED (OWNER)
- **Authorized official phone:** (917) 774-0098

## Contact information

- **Practice address:** 3857 KINGS HWY, \#6A, BROOKLYN, NY 11234-2943
- **Practice address phone:** (917) 774-0098
- **Practice address fax:** (718) 407-0652
- **Mailing address:** 3857 KINGS HWY, \#6A, BROOKLYN, NY 11234-2943
- **Mailing address phone:** (917) 774-0098
- **Mailing address fax:** (718) 407-0652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NY | Yes |

## Other

- **Enumeration date:** 09/28/2011
- **Last updated:** 09/28/2011