Organization Active NPI

Acculab Clinical Solution LLC

  • Clinical Medical Laboratory
  • East Brunswick, NJ
National Provider Identifier
1699347542
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address INFO@ACCULAB.COM

National Provider Directory

National Provider Directory

Locations

330 Milltown Rd
Ste W11
East Brunswick, NJ 08816
Phone (267) 992-5086

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.