OpenHouse Direct Inc
Director
							Jonathan T Wiseman, D.O.
			Expiration Date
							Phone Number
							(973) 493-7607
			UID (Facility ID - Site ID)
							R980-0000
			Site ID
							0000
			City
							New York
			CLIA Number
							33D1075972
			Street Address
							19 W 34th St - Suite 608
			State
							NY
			Zip Code
							10001
			County
							New York
			Country
							United States
			Fax Number
							(646) 415-8610
			Primary Contact
							John W Buckley
			Contact Phone Number
							(732) 563-9749
			Certificate Type
							WAIVER
			Tests
				Cholesterol
							Community Screening
							Glucose
							Glycosylated Hemoglobin
							HDL Cholesterol
							LDL Cholesterol
							Thyroid Stimulating Hormone (TSH)
							Triglycerides
					Facility ID
							R980
			