Provider Demographics
NPI:1437793106
Name:VITE CLINICAL LABORATORY INC
Entity Type:Organization
Organization Name:VITE CLINICAL LABORATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TUMARBEK
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-687-9795
Mailing Address - Street 1:250 ROUTE 28 STE 205
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1979
Mailing Address - Country:US
Mailing Address - Phone:718-687-9795
Mailing Address - Fax:
Practice Address - Street 1:250 ROUTE 28 STE 205
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1979
Practice Address - Country:US
Practice Address - Phone:718-687-9795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory