Provider Demographics
NPI:1639573470
Name:NYAH DIAGNOSTIC LLC
Entity Type:Organization
Organization Name:NYAH DIAGNOSTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:732-397-7708
Mailing Address - Street 1:72 MEADOW BROOK RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2017
Mailing Address - Country:US
Mailing Address - Phone:732-397-7708
Mailing Address - Fax:732-372-7361
Practice Address - Street 1:32 WERNIK PL STE H
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2467
Practice Address - Country:US
Practice Address - Phone:732-253-0247
Practice Address - Fax:732-662-3704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty