Provider Demographics
NPI:1538607486
Name:BERKSHIRE MEDICAL LABORATORIES INC
Entity type:Organization
Organization Name:BERKSHIRE MEDICAL LABORATORIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:
Authorized Official - First Name:OWEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-525-1742
Mailing Address - Street 1:1945 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3526
Mailing Address - Country:US
Mailing Address - Phone:800-525-1742
Mailing Address - Fax:908-686-0006
Practice Address - Street 1:1945 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3526
Practice Address - Country:US
Practice Address - Phone:800-525-1742
Practice Address - Fax:908-686-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory