Organization
NOVALAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILDAR NIZAMI (OWNER)
(973) 832-7902
Entity
Organization
Contact information
Practice address
87 BERDAN AVE, SUITE #4, WAYNE, NJ 07470-3210
(973) 832-7902
(973) 832-7980
Mailing address
87 BERDAN AVE, SUITE #4, WAYNE, NJ 07470-3210
(973) 832-7902
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
10/19/2022
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