SPECTRA EAST, INC.; NPI #1124024922
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Contact Information

SPECTRA EAST, INC.
8 KING RD
ROCKLEIGH, NJ07647-2502
 Phone: 201-767-7070
 Fax: 201-799-4551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for SPECTRA EAST, INC.

NPI Number 1124024922
LBN Legal business name SPECTRA EAST, INC.
Authorized official CHRIS CHURCHILL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2005
Last updated 07/25/2023 - About 9 months ago
Identifiers
NJ License # 0001348
AL Medicaid 009912670
CT Medicaid 003106160
FL Medicaid 030641000
GA Medicaid 000843488A
KY Medicaid 37000007
MA Medicaid 0805955
NC Medicaid 7001179
NH Medicaid 30800684
NJ Medicaid 8086605
NY Medicaid 02010011
OH Medicaid 2138672
PA Medicaid 0017643320002
TX Medicaid 071470101
VA Medicaid 004996909
WV Medicaid 5580063000
GA Other 690008572 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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