Ridgewood Diagnostic Laboratory, LLC
NPI #1568839173 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1568839173
- Entity Type
- Organization
- Organization Name
- Ridgewood Diagnostic Laboratory, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 31, 2015
- Last Updated
- Nov 20, 2018
Practice Location
- Address
- 126 STATE STREET
- Address 2
- 2ND FLOOR
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601
- Phone
- (973) 542-2343
Authorized Official
- Name
- ALEXANDR ZAITSEV, M.D.
- Title
- PRESIDENT
- Phone
- (862) 703-0506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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