Provider Demographics
NPI:1689337362
Name:KONSU HEALTH LLC
Entity Type:Organization
Organization Name:KONSU HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-604-8666
Mailing Address - Street 1:290 W MOUNT PLEASANT AVE STE 2370
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2763
Mailing Address - Country:US
Mailing Address - Phone:888-966-8866
Mailing Address - Fax:
Practice Address - Street 1:290 W MOUNT PLEASANT AVE STE 2370
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-2763
Practice Address - Country:US
Practice Address - Phone:888-966-8866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1700078672OtherCHARLES PERRY
HI1871686477OtherJEFFREY CHESTER