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Contact Information

ADVANTAGE DIAGNOSTICS CLINICAL LABORATORY LLC
B3 CORNWALL DR
EAST BRUNSWICK, NJ08816-3361
 Phone: 732-965-7870
 Fax: 732-856-5220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for ADVANTAGE DIAGNOSTICS CLINICAL LABORATORY LLC

NPI # 1497486880
LBN Legal business name ADVANTAGE DIAGNOSTICS CLINICAL LABORATORY LLC
Authorized official POLINA GENKIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2022
Last updated 09/25/2023 - About 3 years ago
Identifiers n/a
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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