Organization Active NPI

Accu Reference Medical Lab, LLC

  • Clinical Medical Laboratory
  • Linden, NJ
National Provider Identifier
1225110497
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00006645 Issued in NJ
Legal business name
ACCU REFERENCE MEDICAL LAB, LLC
Practice address
1901 E Linden Ave
Suite 4
Linden, NJ 07036
Phone
(908) 474-1004
Fax
(908) 474-0032
NPI assigned
Oct 19, 2006
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luz Bagley
Title
Cco
Phone
(908) 474-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 00006645 NJ Primary

Addresses

Primary practice location

1901 E Linden Ave
Suite 4
Linden, NJ 07036

Mailing address

1901 E Linden Ave
Suite 4
Linden, NJ 07036-1114
Phone (908) 474-1004

Other practice location 1

100 Highland Ave Ste 307
Providence, RI 02906-2753
Phone (401) 856-6460

Other practice location 2

1532 River Oaks Rd W
New Orleans, LA 70123-2163
Phone (504) 779-8163

Other practice location 3

1905 Skibo Rd Ste 100
Fayetteville, NC 28314-0261
Phone (910) 867-7071

Other identifiers 2

IdentifierTypeStateIssuer
571083MedicaidNJ
0084425MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, LA, RI, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20050721000125 NJ Part B Supplier - Independent Clinical Laboratory 2860429156 Practice locations: Linden, NJ
O20201230001575 LA Part B Supplier - Independent Clinical Laboratory 2860429156 Practice locations: New Orleans, LA
O20231115001119 RI Part B Supplier - Independent Clinical Laboratory 2860429156 Practice locations: Providence, RI
O20240410000101 NC Part B Supplier - Independent Clinical Laboratory 2860429156 Practice locations: Fayetteville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2098915Accu Reference Medical Lab1532 River Oaks Rd West, Elmwood, LA 70123AccreditationMar 21, 2027
31D1041265Accu-Reference Medical Lab LLC1901 East Linden Avenue, Linden, NJ 07036AccreditationAug 10, 2027
34D1010197Accu Reference Medical Lab1905 Skibo Rd Ste 100, Fayetteville, NC 28314AccreditationApr 5, 2028
41D0894561Childrens Medical Group100 Highland Avenue Suite 201, Providence, RI 02906Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4539 N I 10 Service Rd W
Ste 1
Metairie, LA 70006
Phone (504) 779-8163

1532 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 779-8163

1901 E Linden Ave
Linden, NJ 07036

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1225110497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E LINDEN AVE",
            "address_2": "SUITE 4",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070361114",
            "telephone_number": "908-474-1004",
            "fax_number": "908-474-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E LINDEN AVE",
            "address_2": "SUITE 4",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "07036",
            "telephone_number": "908-474-1004",
            "fax_number": "908-474-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Highland Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062753",
            "country_code": "US",
            "telephone_number": "401-856-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1532 River Oaks Rd W",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701232163",
            "country_code": "US",
            "telephone_number": "504-779-8163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Skibo Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283140261",
            "country_code": "US",
            "telephone_number": "910-867-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCU REFERENCE MEDICAL LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "908-474-1004"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "00006645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571083",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084425",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.