MEADOWLANDS DIAGNOSTICS, LLC


Address: 177 Valley Blvd Fl 2, Wood Ridge, NJ 07075-2011
Phone: 2013476779

MEADOWLANDS DIAGNOSTICS, LLC (NPI# 1114524071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114524071
Entity Type Organization
Organization Name MEADOWLANDS DIAGNOSTICS, LLC
Practice Address 177 Valley Blvd Fl 2
Wood Ridge
NJ 07075-2011
Mailing Address 1 Knutsen Dr
West Orange
NJ 07052-2161
Practice Telephone 2013476779
Practice Fax Number 2013476788
Mailing Telephone 9738684750
Enumeration Date 2020-10-05
Last Update Date 2020-10-05
Authorized Official Name MR. REGINALD SAMUELS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 9738684750
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 177 VALLEY BLVD FL 2
City WOOD RIDGE
State NJ
Zip Code 07075-2011

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467992156 Jeremy Thomas Goldklang Specialist/Technologist 218 Jay Street, Wood Ridge, NJ 07075 2017-03-01
1003290420 Samantha Goldklang Nurse Practitioner 218 Jay St, Wood-ridge, NJ 07075 2015-07-15
1891183133 Meaghan Durham Specialist/Technologist 29 Wesmont Drive, Wood Ridge, NJ 07075 2015-01-08
1831473065 Juan A Castro Behavioral Analyst 358 Hackensack Street, D, Wood-ridge, NJ 07075 2011-10-06
1568600443 Jamea R. Olivari Dentist 163 Valley Blouevard, Wood Ridge, NJ 07075 2009-01-30
1518979186 Theodore Paul Masotti Pharmacist 211 Hackensack Street, Wood Ridge, NJ 07075 2006-08-12
1841405008 Maria Vita Pantano Family Medicine 245 Valley Blvd, Wood Ridge, NJ 07075 2007-05-11
1427541929 Lisandra Quinoy Pena Dentist 300 Avalon Dr Unit 3244, Wood Ridge, NJ 07075-1015 2018-06-08
1114324308 Myong Sun Choe General Acute Care Hospital 300 Avalon Dr Unit 3306, Wood Ridge, NJ 07075-1024 2014-12-03
1649539248 Yihao Jiang Anesthesiology 401 Avalon Dr Unit 4212, Wood Ridge, NJ 07075-1059 2012-05-16
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1992315337 Jayson Mobile Care Phlebotomist LLC Clinical Medical Laboratory 80 Corbin Ave, Jersey City, NJ 07306-6914 2020-07-31
1336763531 Medlife Diagnostic Laboratories Clinical Medical Laboratory 1717 Brunswick Ave, Lawrence Twp, NJ 08648 2020-06-03
1083236020 Right Way Laboratory, LLC Clinical Medical Laboratory 750 Hamburg Turnpike, Pompton, NJ 07442 2020-05-13
1083234686 Rutgers, The State University of New Jersey Clinical Medical Laboratory 604 Allison Rd, Piscataway, NJ 08854-8000 2020-04-23
1548896996 Lab X Health LLC Clinical Medical Laboratory 4 Brighton Rd Ste 308, Clifton, NJ 07012-1665 2020-03-18
1881226579 Clinical Laboratory of Nj LLC Clinical Medical Laboratory 88 Pompton Ave, Verona, NJ 07044-2944 2020-02-10
1437793106 Vite Clinical Laboratory Inc Clinical Medical Laboratory 250 Route 28 Ste 205, Bridgewater, NJ 08807-1979 2019-11-05
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Competitor

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City WOOD RIDGE
Zip Code 07075

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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