Organization
LIFETEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA KALINCHENKO (OWNER)
(718) 336-5109
Entity
Organization
Contact information
Practice address
2455 MCDONALD AVE, SUITE 1-2, BROOKLYN, NY 11223-5232
(718) 336-5109
Mailing address
2455 MCDONALD AVE, SUITE 1- 2, BROOKLYN, NY 11223-5232
(718) 336-5109
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
10/29/2014
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