Provider Demographics
NPI:1255938817
Name:CAIRO DIAGNOSTICS NJ, LLC
Entity type:Organization
Organization Name:CAIRO DIAGNOSTICS NJ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, REVENUE CYCLE
Authorized Official - Prefix:MR
Authorized Official - First Name:FILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:CACINOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-339-5003
Mailing Address - Street 1:50 TICE BLVD STE 183
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7681
Mailing Address - Country:US
Mailing Address - Phone:914-339-5003
Mailing Address - Fax:914-468-6172
Practice Address - Street 1:50 TICE BLVD STE 183
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7681
Practice Address - Country:US
Practice Address - Phone:914-339-5003
Practice Address - Fax:914-468-6172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory