Provider Demographics
NPI:1871240549
Name:PREFERRED TESTING LLC
Entity Type:Organization
Organization Name:PREFERRED TESTING LLC
Other - Org Name:PREFERRED TESTING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHILOIME
Authorized Official - Middle Name:SOLOMON
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-541-1517
Mailing Address - Street 1:21 APPLE BLOSSOM CT
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-4702
Mailing Address - Country:US
Mailing Address - Phone:718-541-1517
Mailing Address - Fax:
Practice Address - Street 1:21 APPLE BLOSSOM CT
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-4702
Practice Address - Country:US
Practice Address - Phone:718-541-1517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory