Organization
PARK MADISON PROFESSIONAL LABORATORIES, INC.
Active
Organization
PARK MADISON PROFESSIONAL LABORATORIES, INC.
Active
Other names
Park Madison Laboratories, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM DRESSLER (DIRECTOR)
(212) 628-7900
Entity
Organization
Contact information
Practice address
97 E 4TH ST, NEW YORK, NY 10003-9002
(212) 628-7900
(212) 628-7950
Mailing address
97 E 4TH ST, NEW YORK, NY 10003-9002
(212) 628-7900
(212) 628-7950
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D0130762
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00298384
—
NY
05
—
01469429
—
NY
05
—
02087061
—
NY
05
—
02166892
—
NY
01
—
33D0130762
CLIA CERTIFICATE
NY
Enumeration date
08/10/2006
Last updated
12/11/2012
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