Organization
INLAB DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAH LEACH (PRESIDENT & CEO)
(917) 239-1214
Entity
Organization
Contact information
Practice address
466 MAIN ST STE 207, NEW ROCHELLE, NY 10801-6431
(914) 740-5553
Mailing address
466 MAIN ST STE 207, NEW ROCHELLE, NY 10801-6431
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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