Basic Information
| Provider Information | |||||||||
| NPI: | 1245567346 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SURE WAY MEDICAL TESTING PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 FIFTH AVE | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | BAYSHORE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117060000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6312771803 | ||||||||
| FaxNumber: | 6315810015 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 GARDEN CITY PLZ | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | GARDEN CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115303203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5164146900 | ||||||||
| FaxNumber: | 5163932160 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2009 | ||||||||
| LastUpdateDate: | 11/10/2009 | ||||||||
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| AuthorizedOfficialLastName: | TERRANI | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5164146900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.