Healthcare Provider Details

I. General information

NPI: 1396600532
Provider Name (Legal Business Name): EMILY ACQUARULO MLS(ASCP CM)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 QUAIL XING
HUNTERSVILLE NC
28078-9612
US

IV. Provider business mailing address

323 QUAIL XING
HUNTERSVILLE NC
28078-9612
US

V. Phone/Fax

Practice location:
  • Phone: 704-648-6143
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: