Organization
CENTERS AGENCY LLC
Active
Other names
Centers Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ROZENBERG (MEMBER)
(718) 931-9700
Entity
Organization
Contact information
Practice address
1412 BAY RIDGE AVE, BROOKLYN, NY 11219-6231
(718) 931-9700
(718) 259-0088
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1104
(718) 931-9700
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06049678
—
NY
Enumeration date
03/22/2019
Last updated
07/15/2020
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