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Elite Medical Lab

Clinical Medical Laboratory in Ramsey, NJ. Organization (NPI-2).

NPI number1033701701
StatusActive
Last updated in NPPESJun 11, 2021

Details

NPI
1033701701
Entity type
Organization (NPI-2)
Legal business name
Elite Medical Lab
Organization subpart
No
Enumeration date
Feb 4, 2021
Certification date
Jun 11, 2021
Last updated
Jun 11, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

900d Lake St
Ramsey, NJ 07446-1283

Phone 201-286-4617

Mailing address

900d Lake St
Ramsey, NJ 07446-1283

Authorized official

Ludmila Superfin
Owner
2012864617

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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