Healthcare Provider Details

I. General information

NPI: 1992779664
Provider Name (Legal Business Name): EUROFINS NTD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 RULAND RD STE 1
MELVILLE NY
11747-4211
US

IV. Provider business mailing address

80 RULAND RD STE 1
MELVILLE NY
11747-4211
US

V. Phone/Fax

Practice location:
  • Phone: 631-425-0800
  • Fax: 631-425-0811
Mailing address:
  • Phone: 631-425-0800
  • Fax: 631-425-0811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number33D0654095
License Number StateNY

VIII. Authorized Official

Name: MR. MATTHEW URBANEK
Title or Position: DIRECTOR
Credential:
Phone: 816-554-5111