OrganizationActive
Medicon Clinical Lab LLC
NPI 1902546310 · Clinical Medical Laboratory · Elmwood Pk, NJ
Medicon Clinical Lab LLC is a Clinical Medical Laboratory organization in Elmwood Pk, NJ (NPI 1902546310).
Provider details
- NPI number
- 1902546310
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Magda Gad, Billing Manager(973) 910-6632
Specialties & taxonomies
Laboratories
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
97 Linden Ave
2nd Fl
Elmwood Pk, NJ 07407-2248
Phone: (973) 910-6632
Fax: (973) 807-1838
Street-level locationGet directions
Mailing address
97 Linden Ave
Elmwood Pk, NJ 07407-2248
Other names (DBA / former)
- Doing business as
- Northeastern Laboratories LLC
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is Medicon Clinical Lab LLC's NPI number?
- Medicon Clinical Lab LLC's National Provider Identifier (NPI) is 1902546310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medicon Clinical Lab LLC?
- Medicon Clinical Lab LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Medicon Clinical Lab LLC located?
- Medicon Clinical Lab LLC's practice location on file with NPPES is 97 Linden Ave, Elmwood Pk, NJ 07407-2248.
- What is Medicon Clinical Lab LLC's phone number?
- The practice phone number listed in the NPPES registry for Medicon Clinical Lab LLC is (973) 910-6632.
- Who is the authorized official for Medicon Clinical Lab LLC?
- The authorized official listed on Medicon Clinical Lab LLC's NPPES record is Magda Gad, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medicon Clinical Lab LLC's NPI active?
- Yes — Medicon Clinical Lab LLC's NPI (1902546310) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.