MEDICON CLINICAL LAB LLC
NPI 1902546310
Clinical Medical Laboratory in Elmwood Pk, NJ
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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, NJOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.