Modern Diagnostic Laboratory, Inc in Brooklyn - Clinical Medical Laboratory
Modern Diagnostic Laboratory, Inc - NPI 1720084551
Modern Diagnostic Laboratory, Inc is a Clinical Medical Laboratory in Brooklyn, New York. Modern Diagnostic Laboratory, Inc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Modern Diagnostic Laboratory, Inc is 1720084551. The last update date is 2008-04-20.
Modern Diagnostic Laboratory, Inc's current location address is 1412 Bay Ridge Ave, Brooklyn, New York. You can contact this provider via phone number 7188375222 and fax number 7182590088. The mailing address for Modern Diagnostic Laboratory, Inc is 1412 Bay Ridge Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modern Diagnostic Laboratory, Inc |
|---|---|
| Address | 1412 Bay Ridge Ave, Brooklyn, New York |
| Phone Number | 7188375222 |
| Fax Number | 7182590088 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Tessler Aron |
| Telephone Number | 7188375222 |
NPI Number Detail
| NPI Number | 1720084551 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 1412 Bay Ridge Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112196231 |
| Phone Number | 7188375222 |
| Fax Number | 7182590088 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | PFI: 3848 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1064002 | NY | -- | |
| 823708 | NJ | -- | |
| L062010 | NY | EMPIRE BC/BS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Modern Diagnostic Laboratory, Inc?
The Modern Diagnostic Laboratory, Inc has been issued the NPI (National Provider Identifier) 1720084551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Modern Diagnostic Laboratory, Inc is geographically located?
The Modern Diagnostic Laboratory, Inc is physically situated at the following location: 1412 Bay Ridge Ave, Brooklyn, NY, 112196231.
What is Modern Diagnostic Laboratory, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Modern Diagnostic Laboratory, Inc is Clinical Medical Laboratory, and the taxonomy code that classifies this field of practice is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720084551 to Modern Diagnostic Laboratory, Inc?
The Modern Diagnostic Laboratory, Inc received its 1720084551 assignment from the Centers for Medicare & Medicaid Services on 2005-06-27.
As of what date were the details pertaining to Modern Diagnostic Laboratory, Inc last refreshed?
The information related to the Modern Diagnostic Laboratory, Inc, including its address, specialty, and other relevant details, was last updated on 2008-04-20.