Organization
DIAGNOSTIC LABORATOY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS J ZINTERHOFER MD (PRESIDENT PATHOLOGIST)
(732) 229-8711
Entity
Organization
Contact information
Practice address
279 3RD AVE STE 104, LONG BRANCH, NJ 07740-6205
(732) 229-8711
(732) 229-0245
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 229-8711
(732) 229-0245
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MA27692
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3824705
—
NJ
Enumeration date
05/09/2007
Last updated
08/22/2020
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