MEDICARE: ACCUFAST DIAGNOSTICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246RM2200X	Medical Laboratory Technician
2	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician

General Provider Information

NPI Number	:	1487248423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCUFAST DIAGNOSTICS, LLC

Provider Business Mailing Address
First Line	:	3301 BUCKEYE RD STE 308
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4236
Country	:	US
Telephone Number	:	678-978-1691
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 BUCKEYE RD STE 308
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4236
Country	:	US
Telephone Number	:	678-978-1691
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	PEIXU HU
Credential	:
Telephone Number	:	678-978-1691

Provider Enumeration Date	:	02/20/2021
Last Update Date	:	02/20/2021

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