Organization
UNITED CLINICAL LABORATORY OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRILL VESSELOV (PRESIDENT)
(844) 291-4292
Entity
Organization
Contact information
Practice address
373 E US ROUTE 46 WEST UNIT 111, FAIRFIELD, NJ 07004-2456
(844) 291-4292
Mailing address
373 ROUTE 46 W STE 111, FAIRFIELD, NJ 07004-2456
(844) 291-4292
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
02/04/2019
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