Modern Diagnostic Laboratory, Inc

LBN: Modern Diagnostic Laboratory, Inc
Modern Diagnostic Laboratory, Inc is an health care organization with primary practice located at 1412 Bay Ridge Ave , Brooklyn NY 11219-6231. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Modern Diagnostic Laboratory, Inc can be contacted via phone (718) 837-5222, or through Tessler, Aron via phone (718) 837-5222.

Contact Information

Primary practice address
1412 Bay Ridge Ave Brooklyn NY 11219-6231
Phone: (718) 837-5222
Fax: (718) 259-0088
Website:
Map and Directions
Authorized official contact:
Name: Tessler, Aron
Phone: (718) 837-5222

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X PFI: 3848 New York

Profile Details

NPI number 1720084551
LBN Legal business name Modern Diagnostic Laboratory, Inc
DBA Doing business as
Authorized official Tessler, Aron
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 20th, 2008 - about 16 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 1720084551 NPPES
New York MEDICAID 01064002
New York MEDICAID 0823708
New York Other L062010

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