Su-Raj Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

39DO719734 Issued in NJ

Legal business name

SU-RAJ CORP

Practice address

101 RT 130 S
Suite 401
Cinnaminson, NJ 08077

Phone

(856) 786-4222

Fax

(856) 786-4333

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dilip Mehta, MS

Title

President

Phone

(856) 786-4222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Diagnostic Laboratories Doing business as

Locations

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508879792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RT 130 S",
            "address_2": "SUITE 401",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-786-4222",
            "fax_number": "856-786-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RT 130 S",
            "address_2": "SUITE 401",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-786-4222",
            "fax_number": "856-786-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU-RAJ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "DILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-786-4222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "39DO719734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5596904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Diagnostic Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Emmett Stedman, D.O.
• Pamela J Steelman, PT
• Thomas E Stehr III, RPH
• Steven Robert Stein, HAD
• Robyn A.S. Steiner, VMD
• Kathy Summers, CRNA
• Amber Sweeney, PA-C
• Zenon Michael Switenko, D.O.
• Brie Teal, MS, CCC-SLP
• Marianne Teitelbaum, DC

• Clinical Medical Laboratory in Cinnaminson, NJ
• Providers in Cinnaminson, 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 Aug 22, 2020; 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.