Organization
PROVIDENCE HEALTHCARE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NAOMIE DORILAS (OWNER)
(908) 444-0485
Entity
Organization
Contact information
Practice address
320 PARK AVE, PLAINFIELD, NJ 07060-4230
(908) 444-0485
Mailing address
320 PARK AVE, PLAINFIELD, NJ 07060-4230
(908) 444-0485
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
12/16/2022
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