Ethel Diagnostic Laboratory

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

ETHEL DIAGNOSTIC LABORATORY

Practice address

4 Ethel Road, Suite 402a
Edison, NJ 08817

Phone

(732) 902-6968

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Jun Li, MDNPI 1861459505

Title

Ceo

Phone

(732) 902-6968

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jun Li, M.D.

  • Anesthesiology Physician
  • Marlboro, NJ
  • NPI 1861459505
  NPD Authorized official
• Songlin Liang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Middletown, NY
  • NPI 1023195880
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1437704905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077460034",
            "telephone_number": "848-863-8700",
            "fax_number": "732-902-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ETHEL ROAD, SUITE 402A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817",
            "telephone_number": "732-902-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHEL DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-902-6968",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerardo Villaruz Estevez, MD
• Barbara Valera Estonactoc
• Eunice Estoque
• Bernabe Abrera Estrellas, MD
• Mirlene Estriplet
• Eugene J. Lind, M.D.P.a.
• Jessica Helen Evans, APN
• Everest Health Care Services
• Evergreen Home Care LLC
• Evergreen Home Health Care Agency Inc.

• Anatomic Pathology Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Anatomic Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.