Organization
MANHATTAN PHYSICIANS LABORATORIES LLC
Active
Other names
Genatom Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA A PIRO (ADMINISTRATOR VP)
(732) 929-8890
Entity
Organization
Contact information
Practice address
25 RIVERSIDE DR, PINE BROOK, NJ 07058-9391
(973) 228-3099
(973) 228-9123
Mailing address
25 RIVERSIDE DR, PINE BROOK, NJ 07058-9391
(973) 228-3099
(973) 228-9123
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00003476
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2756200-01
—
NJ
01
—
31D0106549
CLIA
—
Enumeration date
12/29/2005
Last updated
01/06/2010
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