NPI 1699365445

Rutgers, That State University of New Jersey

Organisation Clinical Medical Laboratory Newark, NJ

Practice location

Address: 225 Warren Street Rbl 2140, Newark, NJ 07103
Phone: (973) 972-3170
Fax: (973) 972-0795
Mailing address: 185 S Orange Ave # Msbf656, Newark, NJ 07103-2757

Authorised official

Name: Deanna Streck
Title: Laboratory Supervisor
Phone: (973) 972-3170

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in New Jersey →

Molecular Genetic Pathology (Medical Genetics) Physician

Allopathic & Osteopathic Physicians Taxonomy 207SM0001X

Other Medical Genetics providers in New Jersey →

Registry record

NPI: 1699365445
Entity type: Organization
NPI issued: 25 Jan 2021
Record last updated: 3 Feb 2021

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.