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

Medicon Clinical Lab LLC

Organization Clinical Medical Laboratory · NPI 1902546310

Medicon Clinical Lab LLC is a Clinical Medical Laboratory in Elmwood Pk, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

97 Linden Ave 2nd Fl
Elmwood Pk, NJ 07407-2248
Phone: (973) 910-6632
Fax: (973) 807-1838
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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 number1902546310
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Magda Gad — Billing Manager · (973) 910-6632
Other names Northeastern Laboratories Llc
NPI enumeratedApril 1, 2022
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address97 Linden Ave, 2nd Fl, Elmwood Pk, NJ 07407-2248