NPI 1467793208

Cgc Genetics INC.

Organisation Clinical Medical Laboratory Newark, NJ

Practice location

Address: 185 S Orange Ave F661, Newark, NJ 07103-2757
Phone: (973) 623-1264
Fax: (973) 623-1266

Authorised official

Name: Purificacao Tavares
Title: Ceo
Phone: (973) 623-1264

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence COS00800249 (CA)

Other Clinical Medical Laboratory providers in New Jersey →

Registry record

NPI: 1467793208
Entity type: Organization
NPI issued: 4 Mar 2013
Record last updated: 4 Mar 2013

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.