Organization
QUALDX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM M ZHENG MD, PHD (PRESIDENT)
(856) 383-4540
Entity
Organization
Contact information
Practice address
1305 KINGS HWY N STE 2, CHERRY HILL, NJ 08034-1919
(856) 383-4540
(888) 255-4358
Mailing address
10 EDELWEISS LN, VOORHEES, NJ 08043-2824
(856) 383-4540
(888) 255-4358
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA09205800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013903
MEDICARE ID- UNSPECIFIED
PA
01
—
1639252182
NPI
PA
Enumeration date
10/24/2013
Last updated
10/24/2013
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