Organization
STAR LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM KHAWAJA (CEO)
(732) 529-5100
Entity
Organization
Contact information
Practice address
125 FLEMING ST, PISCATAWAY, NJ 08854-3350
(732) 529-5100
(732) 474-0923
Mailing address
125 FLEMING ST, PISCATAWAY, NJ 08854-3350
(732) 529-5100
(732) 474-0923
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0004918
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004918
LABORATORY
NJ
Enumeration date
10/19/2010
Last updated
10/09/2019
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