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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