Healthcare Provider Details
I. General information
NPI: 1427643766
Provider Name (Legal Business Name): RAPIDLAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2021
Last Update Date: 03/09/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 NJ ROUTE 70 E SUITE 27
CHERRY HILL NJ
08034
US
IV. Provider business mailing address
PO BOX 263
BRYN MAWR PA
19010-0263
US
V. Phone/Fax
- Phone: 856-888-2654
- Fax: 856-281-9668
- Phone: 610-733-6300
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 247ZC0005X |
| Taxonomy | Clinical Laboratory Director (Non-physician) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
VAL
EXON
Title or Position: LAB DIRECTOR
Credential:
Phone: 610-733-5177