Organization
UNIVERSAL DIAGNOSTIC LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMO BALIGO (CONTROLLER)
(718) 781-6560
Entity
Organization
Contact information
Practice address
1414 NEWKIRK AVE, BROOKLYN, NY 11226-6522
(718) 859-4777
Mailing address
12056 MOUNT VERNON AVE, SUITE 358, GRAND TERRACE, CA 92313-5116
(866) 455-5700
(909) 824-3243
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NY
Other
Enumeration date
11/08/2006
Last updated
01/29/2008
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