Provider Demographics
NPI:1326749888
Name:QU, ANI (LAB DIRECTOR)
Entity Type:Individual
Prefix:
First Name:ANI
Middle Name:
Last Name:QU
Suffix:
Gender:M
Credentials:LAB DIRECTOR
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Mailing Address - Street 1:694 EWING ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2739
Mailing Address - Country:US
Mailing Address - Phone:609-878-2889
Mailing Address - Fax:609-913-2889
Practice Address - Street 1:694 EWING STREET, PRINCETON, NJ, 08540.
Practice Address - Street 2:12 ROSZEL ROAD, B102
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6254
Practice Address - Country:US
Practice Address - Phone:609-878-2889
Practice Address - Fax:609-913-2889
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MS00021900247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician