Medicon Clinical Lab LLC
Clinical Medical Laboratory in Elmwood Pk, New Jersey
1902546310- Practice location
- 97 Linden Ave, 2ND Fl, Elmwood Pk, NJ 07407-2248
- Phone
- 973-910-6632
- Fax
- 973-807-1838
- Last updated
- March 23, 2026
Medicon Clinical Lab LLC is a healthcare organization based in Elmwood Pk, NJ. Medicon Clinical Lab LLC practices in Elmwood Pk, NJ. The NPI Number for Medicon Clinical Lab LLC is 1902546310. The current practice location address for Medicon Clinical Lab LLC is 97 Linden Ave, 2ND Fl, Elmwood Pk, NJ 07407-2248 and can be reached out via phone at 973-910-6632 and via fax at 973-807-1838.
Provider Profile Details
- NPI Number
- 1902546310
- Provider Name
- Medicon Clinical Lab LLC
- Provider Entity Type
- Organization
- Address
- 97 Linden Ave, 2ND Fl, Elmwood Pk, NJ 07407-2248
- Phone Number
- 973-910-6632
- Fax Number
- 973-807-1838
- Primary Taxonomy
- Clinical Medical Laboratory · 291U00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Magda Gad · Billing Manager · 973-910-6632
- Other Names
- Northeastern Laboratories LLC (Doing Business As)
- Provider Enumeration Date
- April 1, 2022
- Last Update Date
- March 23, 2026
- Certification Date
- March 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 97 Linden Ave
2ND Fl
Elmwood Pk, NJ 07407-2248 - City
- Elmwood Pk
- State
- New Jersey
- Zip
- 07407-2248
- Phone Number
- 973-910-6632
- Fax Number
- 973-807-1838
Provider Business Mailing Address Details
- Address
- 97 Linden Ave
2ND Fl
Elmwood Pk, NJ 07407-2248 - City
- Elmwood Pk
- State
- NJ
- Zip
- 07407-2248
- Phone Number
- 973-910-6632
- Fax Number
- 973-807-1838
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 Elmwood Pk, NJ
View all Clinical Medical Laboratory providers in Elmwood Pk →Frequently Asked Questions
What is the NPI number of Medicon Clinical Lab LLC?
The NPI number of Medicon Clinical Lab LLC is 1902546310. It was assigned on April 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Medicon Clinical Lab LLC?
Medicon Clinical Lab LLC is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X).
Where does Medicon Clinical Lab LLC practice?
The practice location is 97 Linden Ave, 2ND Fl, Elmwood Pk, NJ 07407-2248. The office can be reached at 973-910-6632 (phone) or 973-807-1838 (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 1902546310 directly on the NPPES registry website.