Imar Derm Path Laboratory LLC
Pathology, Anatomic Pathology & Clinical Pathology in Forked River, New Jersey
1689189300- Practice location
- 540 Lacey RD Ste 2A, Forked River, NJ 08731-1532
- Phone
- 732-456-7777
- Fax
- 848-251-2189
- Last updated
- January 16, 2018
Imar Derm Path Laboratory LLC is a healthcare organization based in Forked River, NJ. Imar Derm Path Laboratory LLC practices in Forked River, NJ. The NPI Number for Imar Derm Path Laboratory LLC is 1689189300 and holds a License No. 25MA03772900 (NJ). The current practice location address for Imar Derm Path Laboratory LLC is 540 Lacey RD Ste 2A, Forked River, NJ 08731-1532 and can be reached out via phone at 732-456-7777 and via fax at 848-251-2189.
Provider Profile Details
- NPI Number
- 1689189300
- Provider Name
- Imar Derm Path Laboratory LLC
- Provider Entity Type
- Organization
- Address
- 540 Lacey RD Ste 2A, Forked River, NJ 08731-1532
- Phone Number
- 732-456-7777
- Fax Number
- 848-251-2189
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Organization Subpart
- No
- Parent Organization
- Nj Certified Dermatology PC
- Authorized Official
- Dr. Rami Geffner, MD · Owner · 732-456-7777
- Provider Enumeration Date
- December 4, 2017
- Last Update Date
- January 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 540 Lacey RD Ste 2A
Forked River, NJ 08731-1532 - City
- Forked River
- State
- New Jersey
- Zip
- 08731-1532
- Phone Number
- 732-456-7777
- Fax Number
- 848-251-2189
Provider Business Mailing Address Details
- Address
- 1580 Lakewood RD Ste 16
Toms River, NJ 08755-3287 - City
- Toms River
- State
- NJ
- Zip
- 08755-3287
- Phone Number
- 732-456-7777
- Fax Number
- 848-251-2189
License Information
- License Number (1)
- 25MA03772900
- License State (1)
- NJ
- Taxonomy (1)
- Dermatology, Dermatopathology · 207ND0900X
- License Number (2)
- 25MA09002600
- License State (2)
- NJ
- Taxonomy (2)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Imar Derm Path Laboratory LLC?
The NPI number of Imar Derm Path Laboratory LLC is 1689189300. It was assigned on December 4, 2017 and is currently active in the NPPES registry.
What is the specialty of Imar Derm Path Laboratory LLC?
Imar Derm Path Laboratory LLC is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NJ under license number 25MA03772900.
Where does Imar Derm Path Laboratory LLC practice?
The practice location is 540 Lacey RD Ste 2A, Forked River, NJ 08731-1532. The office can be reached at 732-456-7777 (phone) or 848-251-2189 (fax).
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 1689189300 directly on the NPPES registry website.