| Ez Test Ny | |
|
13 Peach St Butler GA 31006-5338 | |
| (212) 518-6900 | |
| (866) 252-3902 |
| Full Name | Ez Test Ny |
|---|---|
| Speciality | Clinic/Center |
| Location | 13 Peach St, Butler, Georgia |
| Authorized Official Name and Position | Bedis Zormati (OWNER) |
| Authorized Official Contact | 2125186900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ez Test Ny 441 Lexington Ave Rm 1221 New York NY 10017-3931 Ph: (212) 518-6900 | Ez Test Ny 13 Peach St Butler GA 31006-5338 Ph: (212) 518-6900 |
| NPI Number | 1336868843 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 6507235785 |
|---|---|
| Medicare Enrollment ID | O20230117002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336868843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
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