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NPI Code Detail

MEDICARE: SILVER LAB, INC

MEDICARE: SILVER LAB, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory00006184NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831119460
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVER LAB, INC
Provider Business Mailing Address
First Line : 1417 BRACE RD
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-3524
Country : US
Telephone Number : 856-795-3131
Fax Number : 856-795-7062
Provider Business Practice Location Address
First Line : 1417 BRACE RD
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-3524
Country : US
Telephone Number : 856-795-3131
Fax Number : 856-795-7062
Authorized Official
Title or Position : PRESIDENT
Name : MR. MARC SILVER
Credential :
Telephone Number : 856-795-3131
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/22/2020

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