Organization
UNITED MEDICAL LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARID HASSA (PRESIDENT)
(201) 843-7750
Entity
Organization
Contact information
Practice address
12 OVERLOOK AVE, ROCHELLE PARK, NJ 07662-3226
(201) 843-7750
Mailing address
12 OVERLOOK AVE, ROCHELLE PARK, NJ 07662-3226
(201) 843-7750
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
31D0933244
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183865
—
NJ
Enumeration date
03/13/2007
Last updated
02/22/2011
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