Provider Demographics
NPI:1942788948
Name:SUNLIGHT LABS
Entity Type:Organization
Organization Name:SUNLIGHT LABS
Other - Org Name:SUNLIGHT LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-806-9662
Mailing Address - Street 1:94 BAYARD ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2131
Mailing Address - Country:US
Mailing Address - Phone:732-847-2052
Mailing Address - Fax:
Practice Address - Street 1:94 BAYARD ST
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2131
Practice Address - Country:US
Practice Address - Phone:732-847-2052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory