Organization
MEDICAL LABORATORY & PATHOLOGY CONSULTANTS LLC
Active
Parent organization
MEDICAL LABORATORY AND PATHOLOGY CONSULTANTS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL LABORATORY AND PATHOLOGY CONSULTANTS LLC
Authorized official
DR. FARHAD SETOODEH MD (OWNER)
(973) 365-4565
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4595
Mailing address
65 GLENVIEW RD, SOUTH ORANGE, NJ 07079-1060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8851506
—
NJ
Enumeration date
02/15/2007
Last updated
06/06/2014
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