Healthcare Provider Details

I. General information

NPI: 1225303621
Provider Name (Legal Business Name): ACS DIAGNOSTICS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2012
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 NEW LA GRANGE RD SUITE 209
LOUISVILLE KY
40222-4871
US

IV. Provider business mailing address

7410 NEW LA GRANGE RD SUITE 209
LOUISVILLE KY
40222-4871
US

V. Phone/Fax

Practice location:
  • Phone: 502-671-9006
  • Fax:
Mailing address:
  • Phone: 502-671-9006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. LARRY SEARS
Title or Position: OWNER
Credential:
Phone: 502-671-9006