Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ismail Imam

Individual provider Laboratory Management Specialist/Technologist · NPI 1508797309

Ismail Imam is a Laboratory Management Specialist/Technologist in Little Falls, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2026

Practice location Address checks out

174 Woodcliff Ave
Little Falls, NJ 07424-1064
Phone: (973) 961-1410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Laboratory Management Specialist/Technologist (primary) Taxonomy 246QL0900X (NJ)

Record details

NPI number1508797309
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026