Organization
UNIVERSITY PATHOLOGY, P.C.
Active
Parent organization
UNIVERSITY PATHOLOGY, P.C.
Other names
Bradhurst Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PATHOLOGY, P.C.
Authorized official
DR. MYRON R. MELAMED M.D. (PRESIDENT)
(914) 693-6268
Entity
Organization
Contact information
Practice address
1 WESTCHESTER PLZ, BRADHURST LAB, ELMSFORD, NY 10523-1600
(914) 517-2488
(914) 493-2084
Mailing address
19 BRADHURST AVE, BRADHURST LAB, HAWTHORNE, NY 10532-2140
(914) 493-2153
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0553
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02241481
—
NY
Enumeration date
09/02/2006
Last updated
02/23/2011
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