Modern Molecular Diagnostics Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MODERN MOLECULAR DIAGNOSTICS CORP

Practice address

430 US Highway 46
Fairfield, NJ 07004-1977

Phone

(973) 794-8511

Fax

(862) 284-3162

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Ahmed Mohamed

Title

Manager

Phone

(973) 794-8511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1508506361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 US HIGHWAY 46",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041977",
            "telephone_number": "973-794-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 US HIGHWAY 46",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041977",
            "telephone_number": "973-794-8511",
            "fax_number": "862-284-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MOLECULAR DIAGNOSTICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-794-8511"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 26, 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.