Provider Demographics
NPI:1437877800
Name:LAOUDIS, MELINDA (PBT)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:LAOUDIS
Suffix:
Gender:F
Credentials:PBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 HALSEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-7051
Mailing Address - Country:US
Mailing Address - Phone:973-296-2944
Mailing Address - Fax:
Practice Address - Street 1:157 HALSEY RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-7051
Practice Address - Country:US
Practice Address - Phone:973-296-2944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy