Organization
RELIABLE LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAM NGUYEN (OWNER)
(713) 904-4623
Entity
Organization
Contact information
Practice address
37 CROOKS AVENUE #43, PATERSON, NJ 07503
(713) 904-3896
(832) 427-6053
Mailing address
37 CROOKS AVENUE #43, PATERSON, NJ 07503
(713) 904-3896
(832) 427-6053
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D2077150
CLIA
NJ
Enumeration date
02/02/2018
Last updated
02/02/2018
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