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ETHEL DIAGNOSTIC LABORATORY NPI 1437704905


NPI Information

NPI: 1437704905
Provider Name: ETHEL DIAGNOSTIC LABORATORY
Classification: Pathology - 207ZP0101X
Entity Type: Organization

Specialization: Anatomic Pathology

CLIA Number: 31D2140887

Address:
4 ETHEL ROAD, SUITE 402A
EDISON, NJ
ZIP 08817
Phone: (732) 902-6968
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ETHEL DIAGNOSTIC LABORATORY is an anatomic pathology pathology in Edison, NJ. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. ETHEL DIAGNOSTIC LABORATORY NPI is 1437704905. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 ETHEL ROAD, SUITE 402A
EDISON, NJ
ZIP 08817
Phone: (732) 902-6968

The provider's authorized official is Diana Li .
The authorized official title is Office Manager and has the following contact phone number (908) 338-0663.

The CLIA number assigned to this NPI record is 31D2140887 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/1/2019 and was last updated on 7/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0101XPathologyAnatomic PathologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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