Organization Active NPI

Allergy Centers of America LLC

Doing business as ACA Laboratories

  • Clinical Medical Laboratory
  • Winston Salem, NC
National Provider Identifier
1376513515
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALLERGY CENTERS OF AMERICA LLC
Doing business as
ACA Laboratories
Practice address
190 Charlois Blvd
Winston Salem, NC 27103-1522
Phone
(336) 760-9838
Fax
(336) 760-5275
NPI assigned
Jan 23, 2006
Last updated
Sep 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Dimitri Pitovski, M.D.NPI 1588034144
Title
Ceo
Phone
(336) 760-9838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NC Primary

Addresses

Primary practice location

190 Charlois Blvd
Winston Salem, NC 27103-1522

Mailing address

190 Charlois Blvd
Winston Salem, NC 27103-1522
Phone (336) 760-9838

Other names 1

  • ACA Laboratories Doing business as

National Provider Directory

National Provider Directory

Locations

190 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 760-5240

2430 Mall Dr
Ste 210
North Charleston, SC 29406

Practitioners & affiliated clinicians

Practitioners 1

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": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1376513515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031522",
            "telephone_number": "336-760-9838",
            "fax_number": "336-760-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031522",
            "telephone_number": "336-760-9838",
            "fax_number": "336-760-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY CENTERS OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "PITOVSKI",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-760-9838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACA Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.