Organization
LABORATORY MEDICINE DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L GREENE PHD (DIRECTOR)
(347) 879-9494
Entity
Organization
Contact information
Practice address
82 NEWARK-POMPTON TPKE, 2ND FLOOR, SUITE 1, RIVERDALE, NJ 07457
(347) 879-9494
Mailing address
PO BOX 31, CLIFTON, NJ 07015-0031
(347) 879-9494
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
06/03/2020
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