Organization
DERMATOPATHOLOGY INSTITUTE OF NEW JERSEY, LLC
Active
Other names
Ocean View Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMAR SHAMI MD (OWNER)
(732) 450-0820
Entity
Organization
Contact information
Practice address
225 STATE ROUTE 35, SUITE 201, RED BANK, NJ 07701
(732) 450-0820
Mailing address
225 STATE ROUTE 35, SUITE 201, RED BANK, NJ 07701-5919
(732) 450-0820
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31D1064204
CLIA #
NJ
Enumeration date
04/22/2008
Last updated
06/08/2018
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