31D1033850 CLIA NUMBER - NJIN OF TOMS RIVER EAST

Laboratory Demographics

CLIA Number: 31D1033850

Facility Name: NJIN OF TOMS RIVER EAST

Facility Address:
21 STOCKTON DRIVE
TOMS RIVER, NJ
ZIP 08755
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Facility Phone Number: 732 286-6333

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1780640227

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	31D1033850
LAB Type	Practitioner Other
Facility Name	NJIN OF TOMS RIVER EAST
Street	21 STOCKTON DRIVE
City	TOMS RIVER
State	NJ
ZIP	08755
Phone	732 286-6333
CertificateType	4
CertificateEffectiveDate	11/18/2022
CertificateExpirationDate	11/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024