Healthcare Provider Details

I. General information

NPI: 1922939990
Provider Name (Legal Business Name): GUESS PREMIER COLLECTION AND LAB SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 HIGHLAND AVE
NEWARK NJ
07104
US

IV. Provider business mailing address

78 JOHN MILLER WAY STE 326
KEARNY NJ
07032-6533
US

V. Phone/Fax

Practice location:
  • Phone: 908-899-1684
  • Fax: 888-261-8966
Mailing address:
  • Phone: 908-899-1684
  • Fax: 888-261-8966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JAKIRAH DUREN
Title or Position: PRESIDENT AND HEAD SPECIMEN COLLECT
Credential:
Phone: 908-899-1684