MEDICON CLINICAL LAB LLC
NPI 1902546310
Clinical Medical Laboratory in Elmwood Pk, NJ

Active since April 01, 2022CLIA 31D2252678 · Accreditation
97 LINDEN AVE, 2ND FL, ELMWOOD PK, NJ 07407(973) 910-6632(973) 807-1838 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Aug 7, 2023 (2 updates tracked since 2023).

About Medicon Clinical Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICON CLINICAL LAB LLC (NPI 1902546310), doing business as Northeastern Laboratories Llc, is a healthcare organization registered as a clinical medical laboratory in Elmwood Pk, New Jersey and active in the NPI registry since April 2022. The organization holds an CLIA Accreditation certificate valid through May 8, 2027 and lists Magda Gad, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1902546310
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMEDICON CLINICAL LAB LLC
Location Address97 LINDEN AVE, 2ND FLElmwood Pk, NJ 07407-2248
Mailing Address97 Linden Ave, 2nd FlElmwood Pk, NJ 07407-2248 · (973) 910-6632 · Fax (973) 807-1838
Fax(973) 807-1838
Organization SubpartNo
Authorized OfficialMagda GadBilling Manager · (973) 910-6632
Enumeration DateApril 1, 2022
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1902546310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
97 LINDEN AVE, Elmwood Pk, NJ 07407

Other Names 1

Doing Business AsNortheastern Laboratories Llc

Other Identifiers 1

Medicaid0942529NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 31D2252678

Medicon Clinical Lab, LLC · Elmwood Park, NJ
Active · expires May 8, 2027
CLIA Number31D2252678
Laboratory TypeIndependent
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorDr. Edward S. Liu
Laboratory Phone(561) 396-0813
Laboratory LocationMedicon Clinical Lab, LLC97 Linden Avenue Suite 102, Elmwood Park, NJ 07407
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Radiology)
97 LINDEN AVE
ELMWOOD PARK, NJ 07407
Psychiatry & Neurology (Neurology)
97 LINDEN AVE
ELMWOOD PARK, NJ 07407

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 Medicon Clinical Lab LLC's NPI number?

The NPI number for Medicon Clinical Lab LLC is 1902546310. It was assigned to this organization in the NPPES registry on April 1, 2022. The provider is doing business as Northeastern Laboratories LLC.

Where is Medicon Clinical Lab LLC located?

Medicon Clinical Lab LLC is located at 97 Linden Ave 2nd Fl, Elmwood Pk, NJ 07407. The listed phone number is (973) 910-6632.

What is Medicon Clinical Lab LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Medicon Clinical Lab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 31D2252678) is associated with this NPI, valid through May 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medicon Clinical Lab LLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.