OrganizationActive
Providence Clinical Lab, LLC
NPI 1346557022 · Clinical Medical Laboratory · Somerdale, NJ
Providence Clinical Lab, LLC is a Clinical Medical Laboratory organization in Somerdale, NJ (NPI 1346557022).
Provider details
- NPI number
- 1346557022
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Carol Evans, Chief Executive Officer(856) 534-5367
- License
- 1492292 (NJ)
Specialties & taxonomies
Laboratories
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
317 Ava Ave
Somerdale, NJ 08083-1603
Phone: (856) 534-5367
Fax: (856) 435-6067
Street-level locationGet directions
Mailing address
Po Box 213
Somerdale, NJ 08083-0213
Registry dates
- Enumerated
- 2010-09-01
- Last updated
- 2023-09-07
Frequently asked questions
- What is Providence Clinical Lab, LLC's NPI number?
- Providence Clinical Lab, LLC's National Provider Identifier (NPI) is 1346557022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Clinical Lab, LLC?
- Providence Clinical Lab, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Providence Clinical Lab, LLC located?
- Providence Clinical Lab, LLC's practice location on file with NPPES is 317 Ava Ave, Somerdale, NJ 08083-1603.
- What is Providence Clinical Lab, LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Clinical Lab, LLC is (856) 534-5367.
- Who is the authorized official for Providence Clinical Lab, LLC?
- The authorized official listed on Providence Clinical Lab, LLC's NPPES record is Carol Evans, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Clinical Lab, LLC's NPI active?
- Yes — Providence Clinical Lab, LLC's NPI (1346557022) is active in the NPPES registry as of the last update on 2023-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.