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Park Diagnostics Laboratories LLC

Clinical Medical Laboratory in South Ozone Park, NY. Organization (NPI-2).

NPI number1013469733
StatusActive
Last updated in NPPESNov 4, 2016

Details

NPI
1013469733
Entity type
Organization (NPI-2)
Legal business name
Park Diagnostics Laboratories LLC
Organization subpart
No
Enumeration date
Oct 28, 2016
Last updated
Nov 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

12008 131st St
South Ozone Park, NY 11420-2922

Phone 646-300-2399

Mailing address

12008 131st Street
So Ozone Park, NY 11420

Phone 646-300-2399

Authorized official

Benjamin Abraham
Managing Member
6463002399

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