Provider Demographics
NPI:1912487711
Name:VELA DIAGNOSTICS USA INC
Entity Type:Organization
Organization Name:VELA DIAGNOSTICS USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WELEBOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-852-3740
Mailing Address - Street 1:353C US ROUTE 46
Mailing Address - Street 2:SUITE 250
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004
Mailing Address - Country:US
Mailing Address - Phone:973-852-3740
Mailing Address - Fax:973-521-7077
Practice Address - Street 1:353C US ROUTE 46
Practice Address - Street 2:SUITE 250
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004
Practice Address - Country:US
Practice Address - Phone:973-852-3740
Practice Address - Fax:973-521-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ001207291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory