Organization
FUSION DIAGNOSTICS LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTASER HASSAN (CEO/OWNER)
(201) 962-0819
Entity
Organization
Contact information
Practice address
210 MALAPARDIS RD, SUITE #103, CEDAR KNOLLS, NJ 07927-1121
(973) 998-8189
(973) 998-8192
Mailing address
210 MALAPARDIS RD, SUITE #103, CEDAR KNOLLS, NJ 07927-1121
(973) 998-8189
(973) 998-8192
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0005709
NJ
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355674
—
NJ
Enumeration date
08/16/2011
Last updated
08/21/2023
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