Organization
BERGEN CLINICAL LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISABELLE TARIKYAN (CFO)
(201) 569-1332
Entity
Organization
Contact information
Practice address
40 ENGLE ST, ENGLEWOOD, NJ 07631-2905
(201) 569-1332
Mailing address
40 ENGLE ST, ENGLEWOOD, NJ 07631-2905
(201) 569-1332
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0266
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4622201
—
NJ
Enumeration date
03/12/2007
Last updated
03/05/2014
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