Old Bridge Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OLD BRIDGE LABORATORIES INC

Practice address

300 Perrine Rd Ste 330
Old Bridge, NJ 08857-3629

Phone

(732) 810-0023

Fax

(732) 810-0250

NPI assigned

Aug 9, 2022

Last updated

Aug 16, 2022By 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

Siddhi Rana

Title

President

Phone

(732) 810-0023

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1376271338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD STE 330",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573629",
            "telephone_number": "732-810-0023",
            "fax_number": "732-810-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD STE 330",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573629",
            "telephone_number": "732-810-0023",
            "fax_number": "732-810-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "SIDDHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-810-0023"
    },
    "taxonomies": [
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Bridge Dental Practice LLC
• Old Bridge Drugs and Surgicals LLC
• Old Bridge Family Eyecare LLC
• Old Bridge Family Orthodontics LLC
• Old Bridge First Aid and Rescue Squad of Madison Township Inc
• Old Bridge Pediatric Dentistry LLC (Nuva Smile Kids)
• Old Bridge Physical Therapy Associates PC
• Old Bridge RX, LLC (southwood pharmacy)
• Old Bridge RX, LLC (southwood pharmacy)
• Old Bridge Sleep Center

• Clinical Medical Laboratory in Old Bridge, NJ
• Providers in Old Bridge, 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 Aug 16, 2022; 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.