Organization
SPECTRA EAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS CHURCHILL (PRESIDENT)
(781) 699-2306
Entity
Organization
Contact information
Practice address
8 KING RD, ROCKLEIGH, NJ 07647-2502
(201) 767-7070
(201) 799-4551
Mailing address
8 KING RD, ROCKLEIGH, NJ 07647-2502
(201) 767-7070
(201) 799-4551
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0001348
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000843488A
—
GA
05
—
0017643320002
—
PA
05
—
003106160
—
CT
05
—
004996909
—
VA
05
—
009912670
—
AL
05
—
02010011
—
NY
05
—
030641000
—
FL
05
—
071470101
—
TX
05
—
0805955
—
MA
05
—
2138672
—
OH
05
—
30800684
—
NH
05
—
37000007
—
KY
05
—
5580063000
—
WV
01
—
690008572
RAILROAD MEDICARE
GA
05
—
7001179
—
NC
05
—
8086605
—
NJ
Enumeration date
06/27/2005
Last updated
07/25/2023
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