MEDICARE: TRINITY MEDICAL LABORATORIES

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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1902397110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY MEDICAL LABORATORIES

Provider Business Mailing Address
First Line	:	3 EVES DR STE 300
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-3129
Country	:	US
Telephone Number	:	856-334-9496
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 EVES DR STE 300
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-3129
Country	:	US
Telephone Number	:	856-334-9496
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZACHARY BREAKEY
Credential	:
Telephone Number	:	856-334-9496

Provider Enumeration Date	:	05/23/2018
Last Update Date	:	11/14/2025

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Directions to “TRINITY MEDICAL LABORATORIES ” Practice Location

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