Organization
LUVR DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADIY VERLOKA (PRESIDENT)
(718) 513-1809
Entity
Organization
Contact information
Practice address
300 BROADWAY, BAYONNE, NJ 07002-3518
(718) 513-1809
(718) 332-0019
Mailing address
300 BROADWAY, BAYONNE, NJ 07002-3518
(718) 513-1809
(718) 332-0019
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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