Organization
MEDICON CLINICAL LAB LLC
Active
Other names
NORTHEASTERN LABORATORIES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGDA GAD (BILLING MANAGER)
(973) 910-6632
Entity
Organization
Contact information
Practice address
97 LINDEN AVE, 2ND FL, ELMWOOD PK, NJ 07407-2248
(973) 910-6632
(973) 807-1838
Mailing address
97 LINDEN AVE, 2ND FL, ELMWOOD PK, NJ 07407-2248
(973) 910-6632
(973) 807-1838
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0942529
—
NJ
Enumeration date
04/01/2022
Last updated
03/23/2026
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