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Contact Information

LIBERTY DIAGNOSTIC PATHOLOGY PA
355 GRAND ST
JERSEY CITY, NJ07302-4321
 Phone: 201-915-2485
 Fax: 201-915-2377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LIBERTY DIAGNOSTIC PATHOLOGY PA

NPI # 1770575623
LBN Legal business name LIBERTY DIAGNOSTIC PATHOLOGY PA
Authorized official CALVIN STRAND - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2005
Last updated 09/11/2007 - About 19 years ago
Identifiers
NJ Medicaid 9027009
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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