Organization
ADVANTAGE DIAGNOSTICS CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POLINA GENKIN (OWNER)
(973) 632-2681
Entity
Organization
Contact information
Practice address
B3 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3361
(732) 965-7870
(732) 856-5220
Mailing address
PO BOX 429, HACKENSACK, NJ 07602-0429
(732) 965-7870
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
09/25/2023
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