Organization
GENOLAB DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDELRAHMAN AWAD (CFO)
(973) 287-6086
Entity
Organization
Contact information
Practice address
200 FAIRFIELD RD STE 22, FAIRFIELD, NJ 07004-2426
(973) 287-6086
(862) 210-8569
Mailing address
200 FAIRFIELD RD STE 22, FAIRFIELD, NJ 07004-2426
(973) 287-6086
(862) 210-8569
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
10/05/2021
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