Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innercity Health Outreach

Organization Clinical Medical Laboratory · NPI 1629720925

Innercity Health Outreach is a Clinical Medical Laboratory in Haledon, New Jersey. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

14B Lee Ave
Haledon, NJ 07508-1225
Phone: (646) 600-5890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1629720925
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tomicka McMillion — Registered Nurse · (646) 600-5890
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address14b Lee Ave, Haledon, NJ 07508-1225

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