Provider Demographics
NPI:1194486662
Name:AUDIT 101 LLC
Entity type:Organization
Organization Name:AUDIT 101 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIMELECH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-437-8246
Mailing Address - Street 1:525 COUNTYLINE ROAD, SUITE 1
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1405
Mailing Address - Country:US
Mailing Address - Phone:212-457-6232
Mailing Address - Fax:
Practice Address - Street 1:525 COUNTYLINE ROAD, SUITE 1
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1405
Practice Address - Country:US
Practice Address - Phone:212-457-6232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory