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Organization

TEL-A-LAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEDESTY TESFAI TELLA MS, ASCP (CEO/FOUNDER)
(585) 455-7623
Entity
Organization

Contact information

Practice address
318 AVENUE E APT 315, BAYONNE, NJ 07002-6497
(585) 455-7623
Mailing address
318 AVENUE E APT 315, BAYONNE, NJ 07002-6497
(585) 455-7623

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
08/15/2023
Last updated
08/15/2023
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