Provider Demographics
NPI:1932493806
Name:CELLULAR DIAGNOSTICS CORP
Entity Type:Organization
Organization Name:CELLULAR DIAGNOSTICS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AQEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-362-1972
Mailing Address - Street 1:63 ROLLING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4431
Mailing Address - Country:US
Mailing Address - Phone:732-362-1972
Mailing Address - Fax:732-207-9706
Practice Address - Street 1:63 ROLLING BROOK DR
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-4431
Practice Address - Country:US
Practice Address - Phone:732-362-1972
Practice Address - Fax:732-276-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory