Aca Laboratories
Organization Active NPI Clinical Medical Laboratory · Goose Creek, SC
NPI 1013295740 · NPPES record last updated Jul 10, 2013
Key facts
- NPI
- 1013295740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 42D2043357 (SC)
- Legal business name
- ACA LABORATORIES
- Practice address
- 113 Etiwan Dr
Goose Creek, SC 29445-3073 - Phone
- (843) 747-4294
- Fax
- (843) 747-4298
- NPI assigned
- Jul 29, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Dimitri Zivko Pitovski, MD
- Title
- Ceo
- Phone
- (843) 747-4294
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 42D2043357 | SC | Yes |
Addresses
Primary practice location
113 Etiwan Dr
Goose Creek, SC 29445-3073
Mailing address
PO Box 1726
Goose Creek, SC 29445-1726
Phone (843) 747-4294
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All providers in Goose Creek, SC · Clinical Medical Laboratory in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.