United Clinical Laboratory of New Jersey LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNITED CLINICAL LABORATORY OF NEW JERSEY LLC

Practice address

373 E US Route 46 West Unit 111
Fairfield, NJ 07004-2456

Phone

(844) 291-4292

NPI assigned

Jul 10, 2018

Last updated

Feb 4, 2019By 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

Kirill Vesselov

Title

President

Phone

(844) 291-4292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1386130607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 ROUTE 46 W STE 111",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042456",
            "telephone_number": "844-291-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E US ROUTE 46 WEST UNIT 111",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042456",
            "telephone_number": "844-291-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CLINICAL LABORATORY OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "VESSELOV",
        "authorized_official_first_name": "KIRILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-291-4292"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Truong, PHARM D
• April Elizabeth Tully, LCSW
• Jaynie Marie Tumminio, M.S., CCC-SLP
• Daniella Tuorto, L.A.C
• Samantha Turk
• Universal Hearing LLC (Miracle Ear)
• Ashley Morgan Urso
• Honora Valane, M.D.
• Brianna Lynne Valdes
• Stacyan P Valentine

• Clinical Medical Laboratory in Fairfield, NJ
• Providers in Fairfield, 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 Feb 4, 2019; 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.