Organization
BAYSIDE LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA PESTUN (PRESIDENT)
(718) 229-8800
Entity
Organization
Contact information
Practice address
T. BAYSIDE LABORA LAB, 45 57 BELL BLVD, BAYSIDE, NY 11361-3354
(718) 229-8800
(718) 224-7225
Mailing address
4557 BELL BLVD, FLUSHING, NY 11361-3354
(718) 229-8800
(718) 224-7225
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D0149650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030953
—
NJ
05
—
00996658
—
NY
Enumeration date
11/07/2006
Last updated
04/29/2008
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