Mountain Lakes Pathology LLC
NPI #1316225097 in Mountain Lakes, New Jersey
Provider Information
- NPI Number
- 1316225097
- Entity Type
- Organization
- Organization Name
- Mountain Lakes Pathology LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 28, 2011
- Last Updated
- Jul 28, 2011
Practice Location
- Address
- 115 ROUTE 46 W
- Address 2
- SUITE B-12
- City
- Mountain Lakes
- State
- New Jersey
- ZIP Code
- 07046-1668
- Phone
- (973) 809-7706
Authorized Official
- Name
- DR. ESSAM AHMED, MD
- Title
- PRINCIPAL OWNER
- Phone
- (973) 831-5046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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