Organization
OLD BRIDGE LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDDHI RANA (PRESIDENT)
(732) 810-0023
Entity
Organization
Contact information
Practice address
300 PERRINE RD STE 330, OLD BRIDGE, NJ 08857-3629
(732) 810-0023
(732) 810-0250
Mailing address
300 PERRINE RD STE 330, OLD BRIDGE, NJ 08857-3629
(732) 810-0023
(732) 810-0250
Taxonomy
Speciality
Code
Description
License number
State
291900000X
Military Clinical Medical Laboratory
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/16/2022
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