31D2163384 CLIA NUMBER - SUBINPRARA MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 31D2163384

Facility Name: SUBINPRARA MEDICAL GROUP INC

Facility Address:
577 CHESTNUT RIDGE ROAD
WOODCLIFF LAKE, NJ
ZIP 07677
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Facility Phone Number: 201 885-3722

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538839378

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	31D2163384
LAB Type	Physician Office
Facility Name	SUBINPRARA MEDICAL GROUP INC
Street	577 CHESTNUT RIDGE ROAD
City	WOODCLIFF LAKE
State	NJ
ZIP	07677
Phone	201 885-3722
CertificateType	4
CertificateEffectiveDate	3/13/2023
CertificateExpirationDate	3/12/2025
FacilityType	Waiver

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