Provider Demographics
NPI:1316012909
Name:RNJ SERVICES, INC
Entity Type:Organization
Organization Name:RNJ SERVICES, INC
Other - Org Name:PREMIER MEDICAL LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARKENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-754-4300
Mailing Address - Street 1:35-37 PROGRESS ST
Mailing Address - Street 2:SUITE B6
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1179
Mailing Address - Country:US
Mailing Address - Phone:908-754-4300
Mailing Address - Fax:908-754-4301
Practice Address - Street 1:35-37 PROGRESS ST STE B6
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1179
Practice Address - Country:US
Practice Address - Phone:908-754-4300
Practice Address - Fax:908-754-4301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0004116291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0244015Medicaid
NJ0244015Medicaid