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

Ismail Imam

Individual provider Laboratory Management Specialist/Technologist · NPI 1508797309

Ismail Imam is a Laboratory Management Specialist/Technologist in Little Falls, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

174 Woodcliff Ave
Little Falls, NJ 07424-1064
Phone: (973) 961-1410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Laboratory Management Specialist/Technologist (primary) Taxonomy 246QL0900X (NJ)

Record details

NPI number1508797309
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address174 Woodcliff Ave, Little Falls, NJ 07424-1064