Organization
PROFESSIONAL CLINICAL LABORATORIES
Active
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
Update your record
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