Organization
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
Active
Parent organization
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
Other names
Rutgers New Jersey Medical School Emerging Pathogens Clinical Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
Authorized official
DEANNA STRECK (LABORATORY SUPERVISOR)
(973) 972-3170
Entity
Organization
Contact information
Practice address
225 WARREN STREET, RBL 2140, NEWARK, NJ 07103
(973) 972-3170
(973) 972-0795
Mailing address
185 S ORANGE AVE # MSBF656, NEWARK, NJ 07103-2757
(973) 972-3170
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D2184476
CLIA
NJ
Enumeration date
01/25/2021
Last updated
02/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us