| Four Lobes Diagnostics, Llc | |
|
110 Fieldcrest Ave Ste 3 Edison NJ 08837-3648 | |
| (732) 243-0994 | |
| Not Available |
| Full Name | Four Lobes Diagnostics, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 110 Fieldcrest Ave Ste 3, Edison, New Jersey |
| Authorized Official Name and Position | Samantha Jones (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 7322430994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Lobes Diagnostics, Llc 110 Fieldcrest Ave Ste 3 Edison NJ 08837-3648 Ph: () - | Four Lobes Diagnostics, Llc 110 Fieldcrest Ave Ste 3 Edison NJ 08837-3648 Ph: (732) 243-0994 |
| NPI Number | 1184342982 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 8921483777 |
|---|---|
| Medicare Enrollment ID | O20220915001509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184342982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Samantha Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942946249 PECOS PAC ID: 1850779836 Enrollment ID: I20220602002995 |
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