Organization Name: | ROSS MEDICAL CORPORATION |
NPI Number: | 1417216433 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEXANDER CHIU (C.E.O.) |
Mailing Address: | 82 E Allendale Rd Suite 2a Saddle River |
State: | NJ US |
Postal Code: | 074583057 |
Phone Number: | 5109123636 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2012 |
NPI Last Update Date: | 05/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | 25MA09057500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |