Organization
PROFESSIONAL CLINICAL LABORATORIES
Active
Other names
professional clinical laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FEBLES (DIRECTOR OF OPERATIONS)
(212) 751-7500
Entity
Organization
Contact information
Practice address
16 E 52ND ST, SUITE 303, NEW YORK, NY 10022-5306
(212) 751-7500
(212) 751-7586
Mailing address
16 EAST 52ND STREET, SUITE 303, NEW YORK, NY 10022-5306
(212) 751-7500
(212) 751-7586
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33D0130775
CLIA
—
01
—
3660
NYS PFI #
NY
Enumeration date
09/06/2006
Last updated
12/04/2008
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