Provider Demographics
NPI:1316492705
Name:CLINICAL GENOMICS PATHOLOGY INC.
Entity type:Organization
Organization Name:CLINICAL GENOMICS PATHOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAPOINTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-300-8673
Mailing Address - Street 1:1031 US HIGHWAY 202/206
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1275
Mailing Address - Country:US
Mailing Address - Phone:908-300-8673
Mailing Address - Fax:908-300-8513
Practice Address - Street 1:1031 US HIGHWAY 202/206
Practice Address - Street 2:SUITE 100
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1275
Practice Address - Country:US
Practice Address - Phone:908-300-8673
Practice Address - Fax:908-300-8513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory