Organization
CLINICAL LABORATORY MANANGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY C PECKHAM (EXECUTIVE DIRECTOR BUSINESS OPERATI)
(908) 810-1113
Entity
Organization
Contact information
Practice address
2124 MORRIS AVE, UNION, NJ 07083-6042
(908) 810-1113
(908) 810-1109
Mailing address
PO BOX 1806, UNION, NJ 07083-1806
(908) 810-1113
(908) 810-1109
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00007510
NJ
291U00000X
Clinical Medical Laboratory
028999
PA
291U00000X
Clinical Medical Laboratory
PFI7930
NY
291U00000X
Clinical Medical Laboratory
—
DE
Other
Enumeration date
09/13/2006
Last updated
06/22/2009
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