Provider Demographics
NPI:1245567346
Name:SURE WAY MEDICAL TESTING PLLC
Entity Type:Organization
Organization Name:SURE WAY MEDICAL TESTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-414-6900
Mailing Address - Street 1:5 FIFTH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BAYSHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-0000
Mailing Address - Country:US
Mailing Address - Phone:631-277-1803
Mailing Address - Fax:631-581-0015
Practice Address - Street 1:100 GARDEN CITY PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-3203
Practice Address - Country:US
Practice Address - Phone:516-414-6900
Practice Address - Fax:516-393-2160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory