Organization Active NPI

Vite Clinical Laboratory Inc

  • Clinical Medical Laboratory
  • Bridgewater, NJ
National Provider Identifier
1437793106
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VITE CLINICAL LABORATORY INC
Practice address
250 Route 28 Ste 205
Bridgewater, NJ 08807-1979
Phone
(718) 687-9795
NPI assigned
Nov 5, 2019
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Tumarbek Abdel
Title
Ceo
Phone
(718) 687-9795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

250 Route 28 Ste 205
Bridgewater, NJ 08807-1979

Mailing address

250 Route 28 Ste 205
Bridgewater, NJ 08807-1979
Phone (718) 687-9795

National Provider Directory

National Provider Directory

Locations

250 Route 28
Ste 205
Bridgewater, NJ 08807
Phone (718) 687-9795

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1437793106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ROUTE 28 STE 205",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071979",
            "telephone_number": "718-687-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ROUTE 28 STE 205",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071979",
            "telephone_number": "718-687-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITE CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "ABDEL",
        "authorized_official_first_name": "TUMARBEK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-687-9795"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.