Bostwick Laboratories, Inc,

Organization Active NPI Clinical Medical Laboratory · Uniondale, NY

NPI 1013099605 · NPPES record last updated Mar 28, 2013

Key facts

NPI
1013099605
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
BOSTWICK LABORATORIES, INC,
Practice address
100 Charles Lindbergh Blvd
Bostwick Laboratories, Inc.
Uniondale, NY 11553-3631
Phone
(804) 967-9225
Fax
(804) 239-1954
NPI assigned
Oct 20, 2006
Organization subpart
No

Authorized official

Name
Mr. Martin J Stefanelli
Title
Ceo
Phone
(516) 512-5200

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

100 Charles Lindbergh Blvd
Bostwick Laboratories, Inc.
Uniondale, NY 11553-3631

Mailing address

PO Box 403751
Atlanta, GA 30384-3751
Phone (804) 967-9225

Other identifiers

IdentifierTypeStateIssuer
1009021320003MedicaidPA
79430881MedicaidCO
1013099605MedicaidUT
3810015664MedicaidWV
443513MedicaidAZ
127456200MedicaidWY
1013099605MedicaidIA
138056OtherVAANTHEM BCBS OF VIRGINIA
1372021MedicaidLA
200931890AMedicaidIN
000000265165MedicaidOH
200024720DMedicaidOK
7147846MedicaidWA
100003869MedicaidWI
1013099605MedicaidVA
10111299MedicaidAL
7001365MedicaidNC

Other providers in Uniondale, NY

All providers in Uniondale, NY · Clinical Medical Laboratory in New York

Sources for this page

Verify at the official NPI Registry.