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

Ridgewood Diagnostic Laboratory, LLC

Organization Clinical Medical Laboratory · NPI 1568839173

Ridgewood Diagnostic Laboratory, LLC is a Clinical Medical Laboratory in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

126 State Street 2nd Fl
Hackensack, NJ 07601
Phone: (973) 542-2343
Fax: (201) 632-6548
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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 · Licence 31D2109691 (NJ)

Record details

NPI number1568839173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexandr Zaitsev — President · (862) 703-0506
NPI enumeratedAugust 31, 2015
Last updated in NPPESNovember 20, 2018
Mailing address126 State Street, 2nd Floor, Hackensack, NJ 07601

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