Hudson Medical Lab Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

31D0102853 Issued in NJ

Legal business name

HUDSON MEDICAL LAB INC.

Practice address

1029 Avenue C
Bayonne, NJ 07002-3217

Phone

(201) 339-5444

Fax

(201) 339-2517

NPI assigned

Apr 18, 2007

Last updated

Jul 29, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gerard Preston Rizzo, HCLD

Title

Lab Director

Phone

(201) 339-5444

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1346466257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023217",
            "telephone_number": "201-339-5444",
            "fax_number": "201-339-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023217",
            "telephone_number": "201-339-5444",
            "fax_number": "201-339-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MEDICAL LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "201-339-5444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HCLD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "31D0102853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2593106-01",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hudson Emergency Medical Associates LLC
• Hudson Endovascular LLC
• Hudson Eye Physicians and Surgeons, LLC (Pavonia Optical)
• Hudson Hospital Associates PA
• Hudson Internal Medicine Assoc PC
• Hudson Medical PC
• Hudson Milestones
• Hudson Milestones
• Hudson Milestones
• Hudson Milestones

• Clinical Medical Laboratory in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.