NPI 1104996248

Universal Diagnostic Laboratory, INC.

Organisation Clinical Medical Laboratory Brooklyn, NY

Practice location

Address: 1414 Newkirk Ave, Brooklyn, NY 11226-6522
Phone: (718) 859-4777
Mailing address: 12056 Mount Vernon Ave Suite 358, Grand Terrace, CA 92313-5116

Authorised official

Name: Damo Baligo
Title: Controller
Phone: (718) 781-6560

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in New York →

Registry record

NPI: 1104996248
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 29 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.