Organization
HUDSON MEDICAL LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD PRESTON RIZZO HCLD (LAB DIRECTOR)
(201) 339-5444
Entity
Organization
Contact information
Practice address
1029 AVENUE C, BAYONNE, NJ 07002-3217
(201) 339-5444
(201) 339-2517
Mailing address
1029 AVENUE C, BAYONNE, NJ 07002-3217
(201) 339-5444
(201) 339-2517
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
31D0102853
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2593106-01
—
NJ
Enumeration date
04/18/2007
Last updated
07/29/2010
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