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General NPI Number Information
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NPI Number | 1598315574
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Entity Type | Organization
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Legal Business Name | CENTERS LAB NJ LLC
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 85 HORSEHILL RD STE 110
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927-2003
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Country | US
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Telephone | 973-731-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 4770 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10470-1104
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Country | US
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Telephone | 718-931-9700
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | ASHER HALBERSTAM
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Credential |
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Telephone | 718-931-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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