Avantic Medical Lab

LBN: Avantic Medical Lab
Avantic Medical Lab is an health care organization with primary practice located at 3880 Park Ave Unit 100 , Edison NJ 08820-3012. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Avantic Medical Lab can be contacted via phone (732) 474-1120, or through Liu, Edward S. via phone (732) 474-1120.

Contact Information

Primary practice address
3880 Park Ave Unit 100 Edison NJ 08820-3012
Phone: (732) 474-1120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liu, Edward S.
Phone: (732) 474-1120

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1972094423
LBN Legal business name Avantic Medical Lab
DBA Doing business as
Authorized official Liu, Edward S.
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2018
Last updated Aug 31st, 2023 - about 3 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 1972094423 NPPES
New Jersey MEDICAID 0682543

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