Liberty Diagnostic Pathology Pa

LBN: Liberty Diagnostic Pathology Pa
Liberty Diagnostic Pathology Pa is an health care organization with primary practice located at 355 Grand St , Jersey City NJ 07302-4321. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Liberty Diagnostic Pathology Pa can be contacted via phone (201) 915-2485, or through Strand, Calvin via phone (201) 915-2485.

Contact Information

Primary practice address
355 Grand St Jersey City NJ 07302-4321
Phone: (201) 915-2485
Fax: (201) 915-2377
Website:
Map and Directions
Authorized official contact:
Name: Strand, Calvin Doctor of Medicine (MD)
Phone: (201) 915-2485

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1770575623
LBN Legal business name Liberty Diagnostic Pathology Pa
DBA Doing business as
Authorized official Strand, Calvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2005
Last updated Sep 11th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770575623 NPPES
New Jersey MEDICAID 9027009

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