Organization
UNIVERSAL DIAGNOSTIC LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG DAWSON (CEO)
(718) 859-4777
Entity
Organization
Contact information
Practice address
1414 NEWKIRK AVE, BROOKLYN, NY 11226-6522
(718) 859-4777
(718) 859-4578
Mailing address
1414 NEWKIRK AVE, BROOKLYN, NY 11226-6522
(718) 859-4777
(718) 859-4578
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00289478
—
NY
Enumeration date
08/09/2005
Last updated
08/22/2020
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