Provider Demographics
NPI:1285018523
Name:CHEMISYS LABORATORIES, LLC
Entity Type:Organization
Organization Name:CHEMISYS LABORATORIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-312-6980
Mailing Address - Street 1:17-01 POLLITT DR
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2801
Mailing Address - Country:US
Mailing Address - Phone:201-312-6980
Mailing Address - Fax:201-312-6981
Practice Address - Street 1:17-01 POLLITT DR
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2801
Practice Address - Country:US
Practice Address - Phone:201-312-6980
Practice Address - Fax:201-312-6981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI23D2098168291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory