Provider Demographics
NPI:1245395607
Name:AFFORDABLE HEALTH LAB
Entity Type:Organization
Organization Name:AFFORDABLE HEALTH LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECK
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:732-463-0303
Mailing Address - Street 1:1056 STELTON RD
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-4326
Mailing Address - Country:US
Mailing Address - Phone:732-463-0303
Mailing Address - Fax:
Practice Address - Street 1:1056 STELTON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-4326
Practice Address - Country:US
Practice Address - Phone:732-463-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFORDABLE HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-26
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ477354B9KOtherALIETA ECK, MD- PHYSICIAN
NJ073240B9KOtherJOHN ECK, MD- PHYSICIAN
NJ541411Medicare ID - Type UnspecifiedPROVIDER #