Organization
CAL - LAB PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN L STRAND M.D. (DIRECTOR OF OPERATIONS)
(201) 792-6662
Entity
Organization
Contact information
Practice address
550 NEWARK AVE, SUITE 309, JERSEY CITY, NJ 07306-1326
(201) 792-6662
Mailing address
4567 CROSSROADS PARK DR, 2ND FLOOR, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
25MA02673100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6138403
—
NJ
05
—
9027009
—
NJ
Enumeration date
08/19/2005
Last updated
03/18/2008
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