Organization
RIDGEWOOD DIAGNOSTIC LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDR ZAITSEV M.D. (PRESIDENT)
(862) 703-0506
Entity
Organization
Contact information
Practice address
126 STATE STREET, 2ND FLOOR, HACKENSACK, NJ 07601
(973) 542-2343
(201) 632-6548
Mailing address
126 STATE STREET, 2ND FLOOR, HACKENSACK, NJ 07601
(973) 542-2343
(201) 632-6548
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
31D2109691
NJ
Other
Enumeration date
08/31/2015
Last updated
11/20/2018
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