Organization
MEADOWLANDS DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD SAMUELS (CHIEF EXECUTIVE OFFICER)
(973) 868-4750
Entity
Organization
Contact information
Practice address
177 VALLEY BLVD FL 2, WOOD RIDGE, NJ 07075-2011
(201) 347-6779
(201) 347-6788
Mailing address
1 KNUTSEN DR, WEST ORANGE, NJ 07052-2161
(973) 868-4750
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
03/11/2021
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