Organization
SUNRISE CLINICAL LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUSEEAF T RATHORE (CEO)
(201) 668-5016
Entity
Organization
Contact information
Practice address
22 BALL ST, SUITE # 2, IRVINGTON, NJ 07111-3521
(973) 757-2184
(973) 757-2022
Mailing address
22 BALL ST, SUITE # 2, IRVINGTON, NJ 07111-3521
(973) 757-2184
(973) 757-2022
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00043167
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464848
—
NJ
Enumeration date
05/11/2017
Last updated
04/14/2026
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