Providence Clinical Lab, LLC
Providence Clinical Lab, LLC is a Home Health Agency in Somerdale, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.
- Licensed in
- NJ
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
317 Ava AveSomerdale, NJ 08083-1603
Phone: (856) 534-5367
Fax: (856) 435-6067
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 1492292 (NJ) |
|---|---|
| Home Health Agency | Taxonomy 251E00000X · Licence 1492292 (NJ) |
Record details
| NPI number | 1346557022 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Evans — Chief Executive Officer · (856) 534-5367 |
| NPI enumerated | September 1, 2010 |
| Last updated in NPPES | September 7, 2023 |
| Mailing address | Po Box 213, Somerdale, NJ 08083-0213 |
Other providers in Somerdale
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Accessibility Community Services
5 Cornell Ave, Somerdale, NJ 08083-1223 · (732) 357-5702
-
Care by Your Side
123 S White Horse Pike Unit C, Somerdale, NJ 08083-1757 · (856) 784-4047