1235208992 NPI number — ACE CLINICAL LABORATORY, INC

Table of content: (NPI 1235208992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235208992 NPI number — ACE CLINICAL LABORATORY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACE CLINICAL LABORATORY, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235208992
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/26/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
283 COMMACK ROAD
Provider Second Line Business Mailing Address:
SUITE 315
Provider Business Mailing Address City Name:
COMMACK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-462-4400
Provider Business Mailing Address Fax Number:
631-462-3431

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
283 COMMACK ROAD
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
COMMACK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-462-4400
Provider Business Practice Location Address Fax Number:
631-462-3431
Provider Enumeration Date:
11/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COSTA
Authorized Official First Name:
WILLOWMENIA
Authorized Official Middle Name:
ISDORA
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
631-462-4400

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  PFI4386 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 291U00000X , with the licence number: CLIA33D0674863 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01350994 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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