Healthcare Provider Details

I. General information

NPI: 1194951541
Provider Name (Legal Business Name): ACS DIAGNOSTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25651 ATLANTIC OCEAN DR # A14-A15
LAKE FOREST CA
92630-8841
US

IV. Provider business mailing address

25651 ATLANTIC OCEAN DR A14-A15
LAKE FOREST CA
92630-8841
US

V. Phone/Fax

Practice location:
  • Phone: 949-855-9366
  • Fax: 949-581-1009
Mailing address:
  • Phone: 949-855-9366
  • Fax: 949-581-1009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER S. KANE
Title or Position: PRESIDENT
Credential:
Phone: 949-855-9366