Quentin Medical Lab

NPI 1003819418 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1003819418
Enumeration Date 05/31/2005
Last Updated 09/08/2008
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name MICHAEL MICHAEL
Position VICE PRESIDENT OF OPERATIONS
Phone (718) 492-2600
Fax
Practice Location
140 58TH ST
STE 1E
BROOKLYN NY, 11220-2562, US
Phone (718) 492-2600
Fax
Business Location
140 58TH ST
STE 1E
BROOKLYN NY, 11220-2562, US
Phone (718) 492-2600
Fax
Toxanomy
Taxonomy Code 291U00000X
License State New York
License Number 33D0147515
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According to our database, Quentin Medical Lab NPI is 1003819418, taxonomy code is 291U00000X and license number is 33D0147515, license state is located at New York. Quentin Medical Lab physically located at 140 58th St, Brooklyn NY, 11220-2562. NPI Number 1033115704 has the healthcare provider type.

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1003819418 NPI number is provided on an as is basis without warranty of any kind. 1003819418 is maintained by the National Plan & Provider Enumeration System. The contents of Quentin Medical Lab are for informational purposes only.