Provider Demographics
NPI:1518366426
Name:CLIFFSIDE LABS L.L.C.
Entity Type:Organization
Organization Name:CLIFFSIDE LABS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-964-7620
Mailing Address - Street 1:7 DEER PARK DRIVE, STE K
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-1977
Mailing Address - Country:US
Mailing Address - Phone:609-964-7620
Mailing Address - Fax:732-647-1225
Practice Address - Street 1:7 DEER PARK DRIVE, STE K
Practice Address - Street 2:
Practice Address - City:MONMOUTH
Practice Address - State:NJ
Practice Address - Zip Code:08852-1977
Practice Address - Country:US
Practice Address - Phone:609-964-7620
Practice Address - Fax:732-647-1225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory