Organization
ADAM DIAGNOSTIC LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ADAMS (CEO)
(973) 228-4293
Entity
Organization
Contact information
Practice address
101 ROUTE 46 UNIT 130, PINE BROOK, NJ 07058-9379
(973) 500-3775
(973) 858-0288
Mailing address
101 ROUTE 46 UNIT 130, PINE BROOK, NJ 07058-9379
(973) 500-3775
(973) 858-0288
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014679
CLINICAL LABORATORY LICENSE
NJ
Enumeration date
10/28/2021
Last updated
10/28/2021
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