Active NPI
Accu Reference Medical Lab, LLC
- Clinical Medical Laboratory
- Linden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 00006645
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 571083 | Medicaid | NJ | |
| 0084425 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, LA, RI, NC
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2098915 | Accu Reference Medical Lab | Accreditation | Mar 21, 2027 |
| 31D1041265 | Accu-Reference Medical Lab LLC | Accreditation | Aug 10, 2027 |
| 34D1010197 | Accu Reference Medical Lab | Accreditation | Apr 5, 2028 |
| 41D0894561 | Childrens Medical Group | Certificate of waiver | Feb 14, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Brooklyn, NY
- NPI 1134259328
Member Of
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.
-
- Medical Physician Assistant
- Fayetteville, NC
- NPI 1942387485
-
- Physician Assistant
- Fayetteville, NC
- NPI 1497114201
-
- Adult Health Nurse Practitioner
- Fayetteville, NC
- NPI 1902575491
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1407421779
-
- Family Nurse Practitioner
- Fayetteville, NC
- NPI 1790505659
-
- Family Nurse Practitioner
- Fayetteville, NC
- NPI 1184349060
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1578540860
-
- Internal Medicine Physician
- Eden, NC
- NPI 1548357908
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.