Ace Clinical Laboratory, Inc

LBN: Ace Clinical Laboratory, Inc
Ace Clinical Laboratory, Inc is an health care organization with primary practice located at 283 Commack Road Suite 204, Commack NY 11725. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Ace Clinical Laboratory, Inc can be contacted via phone (631) 462-4400, or through Costa, Willowmenia Isdora via phone (631) 462-4400.

Contact Information

Primary practice address
283 Commack Road Suite 204 Commack NY 11725
Phone: (631) 462-4400
Fax: (631) 462-3431
Website:
Map and Directions
Authorized official contact:
Name: Costa, Willowmenia Isdora
Phone: (631) 462-4400

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X PFI4386 New York
Laboratories / Clinical Medical Laboratory 291U00000X CLIA33D0674863 New York

Profile Details

NPI number 1235208992
LBN Legal business name Ace Clinical Laboratory, Inc
DBA Doing business as
Authorized official Costa, Willowmenia Isdora
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235208992 NPPES
New York MEDICAID 01350994

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