Innercity Health Outreach
Clinical Medical Laboratory in Haledon, New Jersey
1629720925- Practice location
- 14B Lee Ave, Haledon, NJ 07508-1225
- Phone
- 646-600-5890
- Fax
- —
- Last updated
- January 19, 2022
Innercity Health Outreach is a healthcare organization based in Haledon, NJ. Innercity Health Outreach practices in Haledon, NJ. The NPI Number for Innercity Health Outreach is 1629720925. The current practice location address for Innercity Health Outreach is 14B Lee Ave, Haledon, NJ 07508-1225 and can be reached out via phone at 646-600-5890.
Provider Profile Details
- NPI Number
- 1629720925
- Provider Name
- Innercity Health Outreach
- Provider Entity Type
- Organization
- Address
- 14B Lee Ave, Haledon, NJ 07508-1225
- Phone Number
- 646-600-5890
- Primary Taxonomy
- Clinical Medical Laboratory · 291U00000X
- Organization Subpart
- No
- Authorized Official
- Tomicka Mcmillion, DNP · Registered Nurse · 646-600-5890
- Provider Enumeration Date
- January 19, 2022
- Last Update Date
- January 19, 2022
- Certification Date
- January 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14B Lee Ave
Haledon, NJ 07508-1225 - City
- Haledon
- State
- New Jersey
- Zip
- 07508-1225
- Phone Number
- 646-600-5890
Provider Business Mailing Address Details
- Address
- 14B Lee Ave
Haledon, NJ 07508-1225 - City
- Haledon
- State
- NJ
- Zip
- 07508-1225
- Phone Number
- 646-600-5890
License Information
- Taxonomy
- Clinical Medical Laboratory · 291U00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinical Medical Laboratory providers near Haledon, NJ
View all Clinical Medical Laboratory providers in Haledon →Frequently Asked Questions
What is the NPI number of Innercity Health Outreach?
The NPI number of Innercity Health Outreach is 1629720925. It was assigned on January 19, 2022 and is currently active in the NPPES registry.
What is the specialty of Innercity Health Outreach?
Innercity Health Outreach is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X).
Where does Innercity Health Outreach practice?
The practice location is 14B Lee Ave, Haledon, NJ 07508-1225. The office can be reached at 646-600-5890 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629720925 directly on the NPPES registry website.