Organization
INNOVATIVE DIAGNOSTICS LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA TUCCILLO (LAB MANAGER)
(908) 315-0333
Entity
Organization
Contact information
Practice address
7 LINCOLN HWY STE 101A, EDISON, NJ 08820-3965
(908) 315-0333
(908) 315-0125
Mailing address
7 LINCOLN HWY STE 101A, EDISON, NJ 08820-3965
(908) 315-0333
(908) 315-0125
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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