Organization
LIFESCAN DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENIDA BERBERI (MANAGEMENT)
(973) 997-5233
Entity
Organization
Contact information
Practice address
399 MIDLAND AVE, GARFIELD, NJ 07026-1614
(973) 878-3282
(973) 878-1773
Mailing address
399 MIDLAND AVE, GARFIELD, NJ 07026-1614
(973) 878-3282
(973) 878-1773
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512044
—
NJ
01
—
1184079824
NPI
NJ
Enumeration date
05/02/2016
Last updated
02/20/2025
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