OrganizationActive
Advantage Diagnostics Clinical Laboratory LLC
NPI 1497486880 · Clinical Medical Laboratory · East Brunswick, NJ
Provider details
- NPI number
- 1497486880
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Polina Genkin, Owner(973) 632-2681
Specialties & taxonomies
Laboratories
Practice location
B3 Cornwall Dr
East Brunswick, NJ 08816-3361
Phone: (732) 965-7870
Fax: (732) 856-5220
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 429
Hackensack, NJ 07602-0429
Registry dates
- Enumerated
- 2022-06-17
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.