Kean Clinical Diagnostics Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KEAN CLINICAL DIAGNOSTICS LAB

Practice address

1075 Morris Ave
Stem BLDG. 5-13
Union, NJ 07083-7137

Phone

(908) 737-7207

Fax

(908) 737-7205

NPI assigned

Jun 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Keith Allan Bostian, PHD.

Title

Dean

Phone

(908) 216-6609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1427627090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MORRIS AVE STEM BLDG. 5-13",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837133",
            "telephone_number": "908-737-7207",
            "fax_number": "908-737-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 MORRIS AVE",
            "address_2": "STEM BLDG. 5-13",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837137",
            "telephone_number": "908-737-7207",
            "fax_number": "908-737-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEAN CLINICAL DIAGNOSTICS LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "BOSTIAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "908-216-6609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Karpman, MD
• Kartina Support Services LLC
• Sanud Kashif, RN
• Gregory Joel Kaufman, MD
• Amrit Kaur, OD
• Caroline T Kellett, NP-C
• Kellys Chiropractic
• Karleen Kemp
• Laura Kempey, LPC
• Katie Elizabeth Kennedy

• Clinical Medical Laboratory in Union, NJ
• Providers in Union, 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 Jun 18, 2021; 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.