Organization
APPLIED DNA CLINICAL LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A HAYWARD MD (PRESIDENT & CEO)
(631) 240-8801
Entity
Organization
Contact information
Practice address
25 HEALTH SCIENCES DR STE 120, STONY BROOK, NY 11790-3383
(631) 240-8800
(631) 201-3179
Mailing address
PO BOX 626, GREAT RIVER, NY 11739-0626
(631) 907-2186
(631) 201-3179
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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