PROVIDENCE CLINICAL LAB, LLC
NPI 1346557022
Clinical Medical Laboratory in Somerdale, NJ
About Providence Clinical Lab, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE CLINICAL LAB, LLC (NPI 1346557022) is a healthcare organization registered as a clinical medical laboratory in Somerdale, New Jersey and active in the NPI registry since September 2010. The organization lists Carol Joan Evans, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Providence Clinical Lab, LLC's NPI number?
The NPI number for Providence Clinical Lab, LLC is 1346557022. It was assigned to this organization in the NPPES registry on September 1, 2010.
Where is Providence Clinical Lab, LLC located?
Providence Clinical Lab, LLC is located at 317 Ava Ave, Somerdale, NJ 08083. The listed phone number is (856) 534-5367.
What is Providence Clinical Lab, LLC's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
When was this NPI record last updated?
The NPPES record for Providence Clinical Lab, LLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.