Provider Demographics
NPI:1275354334
Name:BIOLUMINUX CLINICAL RESEARCH NEW JERSEY
Entity type:Organization
Organization Name:BIOLUMINUX CLINICAL RESEARCH NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:OYEYEMI
Authorized Official - Last Name:ADASOFUNJO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-435-1404
Mailing Address - Street 1:2131 ROUTE 33 STE B
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1740
Mailing Address - Country:US
Mailing Address - Phone:708-435-1404
Mailing Address - Fax:
Practice Address - Street 1:2131 ROUTE 33 STE B
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1740
Practice Address - Country:US
Practice Address - Phone:708-435-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch