LINDENHURST MEDICAL LABORATORY INC
Medical Laboratory at School St, North Lindenhurst, NY

License number
New York PFI2316
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MR. JAMES A SEIBERT SR.
Title: PRESIDENT
Phone: (631) 226-2626
Address
Address
103 School St, North Lindenhurst, NY 11757
National Provider ID: 1306925771
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LINDENHURST MEDICAL LABORATORY INC

North Lindenhurst, NY

Status:
Inactive
Industry:
Medical Laboratory
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Oct 19, 1989
Inactive since:
Jan 26, 2011
Addresses:
103 School St, Lindenhurst, NY 11757 (Physical)
PO Box 456, North Lindenhurst, NY 11757
State ID:
1391896
Business type:
Domestic Business Corporation
James A Seibert, 809 Anthony Dr, Lindenhurst, NY 11757 (Physical)

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