Healthcare Provider Details

I. General information

NPI: 1487248423
Provider Name (Legal Business Name): ACCUFAST DIAGNOSTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2021
Last Update Date: 02/20/2021
Certification Date: 02/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 BUCKEYE RD STE 308
ATLANTA GA
30341-4236
US

IV. Provider business mailing address

3301 BUCKEYE RD STE 308
ATLANTA GA
30341-4236
US

V. Phone/Fax

Practice location:
  • Phone: 678-978-1691
  • Fax:
Mailing address:
  • Phone: 678-978-1691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PEIXU HU
Title or Position: SECRETARY
Credential:
Phone: 678-978-1691