Organization
GLADZIM MEDICAL LABORATORIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADYS NGOZI IBEZIM PH.D (PRESIDENT & DIRECTOR)
(973) 619-2622
Entity
Organization
Contact information
Practice address
108 S MUNN AVE, EAST ORANGE, NJ 07018-3402
(973) 619-2622
(973) 677-1181
Mailing address
159 FRANKLIN ST, UNIT #3, BLOOMFIELD, NJ 07003-4978
(973) 619-2622
(973) 677-1181
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA ID 33D1034578
MD
Other
Enumeration date
10/26/2008
Last updated
02/13/2009
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