Organization
ENZO CLINICAL LABS, INC.
Active
Parent organization
ENZO BIOCHEM INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENZO BIOCHEM INC.
Authorized official
ANN MARIE WAGNER (REVENUE CYCLE DIRECTOR)
(631) 715-3266
Entity
Organization
Contact information
Practice address
4 CORPORATE DR STE 283, SHELTON, CT 06484-6211
(203) 513-8587
Mailing address
60 EXECUTIVE BLVD, FARMINGDALE, NY 11735-4710
(631) 755-5500
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
03/09/2020
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