Active NPI
Acculab Clinical Solution LLC
- Clinical Medical Laboratory
- East Brunswick, NJ
National Provider Identifier
1699347542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ACCULAB CLINICAL SOLUTION LLC
- Practice address
- 330 Milltown Rd Ste W11
East Brunswick, NJ 08816-2272 - Phone
- (267) 992-5086
- NPI assigned
- Jul 12, 2021
- Last updated
- Jul 19, 2021
- 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
- Sue D Kincer
- Title
- Billing Manager
- Phone
- (139) 287-9398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
330 Milltown Rd Ste W11
East Brunswick, NJ 08816-2272
Mailing address
PO Box 2877
Riverview, FL 33568-2877
Phone (813) 928-7939
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | INFO@ACCULAB.COM |
National Provider Directory
National Provider DirectoryLocations
330 Milltown Rd
Ste W11
East Brunswick, NJ 08816
Phone (267) 992-5086
Interoperability endpoints
- info@acculab.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626652800000",
"number": "1699347542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2877",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335682877",
"telephone_number": "813-928-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MILLTOWN RD STE W11",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088162272",
"telephone_number": "267-992-5086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCULAB CLINICAL SOLUTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A",
"authorized_official_last_name": "KINCER",
"authorized_official_first_name": "SUE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "139-287-9398"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "INFO@ACCULAB.COM",
"affiliation": "N",
"endpointDescription": "PENDING",
"address_1": "330 Milltown Rd Ste W11",
"city": "East Brunswick",
"state": "NJ",
"country_code": "US",
"postal_code": "088162272",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.