Provider Demographics
NPI:1427822337
Name:INTEGRATED ANALYTICAL SOLUTIONS, INC
Entity type:Organization
Organization Name:INTEGRATED ANALYTICAL SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:MORDECHAI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:609-570-1114
Mailing Address - Street 1:2439 KUSER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3303
Mailing Address - Country:US
Mailing Address - Phone:609-570-1114
Mailing Address - Fax:
Practice Address - Street 1:1000 WATER VIEW DR FL 1
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-1816
Practice Address - Country:US
Practice Address - Phone:609-493-0138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory