Organization
MEDICAL DIAGNOSTIC GROUP LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOTT T FRIEDMAN M.D. (LAB DIRECTOR)
(845) 342-5681
Entity
Organization
Contact information
Practice address
210 E MAIN ST, MIDDLETOWN, NY 10940-4038
(845) 342-5681
(845) 342-0470
Mailing address
210 E MAIN ST, MIDDLETOWN, NY 10940-4038
(845) 342-5681
(845) 342-0470
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA33D0653745
NY
Other
Enumeration date
05/25/2007
Last updated
05/22/2008
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