Organization
NORTHWELL HEALTH LABORATORIES
Active
Organization
NORTHWELL HEALTH LABORATORIES
Active
Other names
North Shore LIJ Health System Laboratories, North Shore LIJ Health System Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE A WRIGHT (BILLING MANAGER)
(347) 494-8760
Entity
Organization
Contact information
Practice address
450 LAKEVILLE RD STE M50, NEW HYDE PARK, NY 11042-1117
(516) 719-1000
(516) 407-6744
Mailing address
2200 NORTHERN BLVD STE 104, GREENVALE, NY 11548-1220
(516) 407-6665
(516) 407-6744
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01960907
—
NY
01
—
33D0653792
CLIA
NY
01
—
33D2149088
LITTLE NECK PRKWY CLIA NUMBER
NY
Enumeration date
09/26/2006
Last updated
03/09/2023
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