Provider Demographics
NPI:1639801327
Name:FUTURE DIAGNOSTIC SERVICES, LLC
Entity Type:Organization
Organization Name:FUTURE DIAGNOSTIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:WASEEM
Authorized Official - Last Name:BUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-723-4714
Mailing Address - Street 1:29 HAZEL AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820
Mailing Address - Country:US
Mailing Address - Phone:718-383-0072
Mailing Address - Fax:914-662-8880
Practice Address - Street 1:1510 PARK AVE, 1ST FLOOR, SUITE 104
Practice Address - Street 2:
Practice Address - City:SOUTH PLAIN FIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080
Practice Address - Country:US
Practice Address - Phone:718-383-0072
Practice Address - Fax:914-662-8880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory