Organization
MG TESTING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADIY KUPERSHMIDT (PRESIDENT)
(718) 479-9059
Entity
Organization
Contact information
Practice address
268 BEAUMONT ST, BROOKLYN, NY 11235-4121
(718) 749-9059
(718) 749-9428
Mailing address
268 BEAUMONT ST, BROOKLYN, NY 11235-4121
(718) 749-9059
(718) 749-9428
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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