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Organization

ABC LAB

Active
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Organization

ABC LAB

Active
Parent organization
SL QUALITY CARE DIAGNOSTIC & TREATMENT CNETER
Organization subpart
Yes

Provider details

NPI number
Legal business name
SL QUALITY CARE DIAGNOSTIC & TREATMENT CNETER
Authorized official
LANA MALINKOVICH (CREDENTIALING)
(718) 376-1004
Entity
Organization

Contact information

Practice address
1616 E 13TH ST, BROOKLYN, NY 11229-1102
(718) 376-1004
(718) 954-3769
Mailing address
1616 E 13TH ST, BROOKLYN, NY 11229-1102
(718) 376-1004
(718) 954-3769

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/12/2010
Last updated
11/12/2010
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