Healthcare Provider Details
I. General information
NPI: 1194014597
Provider Name (Legal Business Name): CMA LABS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2011
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 DENOW RD
PENNINGTON NJ
08534-5246
US
IV. Provider business mailing address
4065 QUAKERBRIDGE RD
PRINCETON JUNCTION NJ
08550-5243
US
V. Phone/Fax
- Phone: 609-613-2226
- Fax:
- Phone: 609-613-2226
- Fax: 609-482-3702
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TOM
BELL
Title or Position: PRESIDENT
Credential:
Phone: 609-613-2226