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1669451563
SOPHORA DIAGNOSTIC LAB INC
JAMAICA, NY
NPI
1669451563
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Entity Type
Organization
Authorized Contact
MIKHAIL I KANTIUS
President Owner
718-969-2884
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2006-01-10
Last Update Date
2007-08-22
Business Address
SOPHORA DIAGNOSTIC LAB INC
79-18 164 ST
JAMAICA, NY 11432
Phone number: 718-969-2884
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Mailing Address
SOPHORA DIAGNOSTIC LAB INC
PO BOX 740048
REGO PARK, NY 11374
Phone number:
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