PRIME DIAGNOSTICS PC NPI 1598168882

NPI Information

  • NPI: 1598168882
  • Provider Name: PRIME DIAGNOSTICS PC
  • Classification: Legal Medicine - 173000000X
  • Entity Type: Organization
  • Address: 118 BROAD AVE
    UNIT N9
    PALISADES PARK, NJ
    ZIP 07650
  • Phone: (201) 446-6701

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NPI Details

PRIME DIAGNOSTICS PC is a legal medicine in Palisades Park, NJ. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. PRIME DIAGNOSTICS PC NPI is 1598168882. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

118 BROAD AVE
UNIT N9
PALISADES PARK, NJ
ZIP 07650-717
Phone: (201) 446-6701
Fax: (201) 941-1157

The provider's authorized official is Chang S Park .
The authorized official title is President and has the following contact phone number (201) 446-6701.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 10/1/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal Medicine25MA05299100NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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