Provider Demographics
NPI:1942036611
Name:RUSHI LABORATORY CORPORATION
Entity type:Organization
Organization Name:RUSHI LABORATORY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NIKETA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-203-5812
Mailing Address - Street 1:1141 GREENWOOD LAKE TPKE STE 3A-1
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-1402
Mailing Address - Country:US
Mailing Address - Phone:973-506-4444
Mailing Address - Fax:
Practice Address - Street 1:1141 GREENWOOD LAKE TPKE STE 3A-1
Practice Address - Street 2:
Practice Address - City:RINGWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07456-1402
Practice Address - Country:US
Practice Address - Phone:973-506-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory