Porite Clinical Lab INC
NPI #1538217955 in Cliffside Park, New Jersey
Provider Information
- NPI Number
- 1538217955
- Entity Type
- Organization
- Organization Name
- Porite Clinical Lab INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Apr 11, 2016
Practice Location
- Address
- 415 PALISADE AVE
- City
- Cliffside Park
- State
- New Jersey
- ZIP Code
- 07010-2810
- Phone
- (201) 945-0962
Authorized Official
- Name
- MS. LESLIE H PORSCHEN
- Title
- OWNER
- Phone
- (201) 945-0962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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