Organization
BLUE MEDICAL DIAGNOSTICS EAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYVON EVANS (CEO)
(833) 363-3258
Entity
Organization
Contact information
Practice address
176B COURT ST, NEWARK, NJ 07103-3820
(833) 363-3258
Mailing address
176B COURT ST, NEWARK, NJ 07103-3820
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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