Wantagh Diagnostic Lab INC

NPI #1972538593 in Wantagh, New York

Provider Information

NPI Number
1972538593
Entity Type
Organization
Organization Name
Wantagh Diagnostic Lab INC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 12, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1228 WANTAGH AVENUE
Address 2
SUITE LLI
ZIP Code
11793
Phone
(516) 221-0002

Authorized Official

Name
MRS. MAUREEN DONOHUE
Title
PRESIDENT OWNER
Phone
(516) 221-0002

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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