Healthcare Provider Details
I. General information
NPI: 1437673811
Provider Name (Legal Business Name): ACCU HOME TESTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
544 PARK AVE STE 635
BROOKLYN NY
11205-1600
US
IV. Provider business mailing address
544 PARK AVE STE 635
BROOKLYN NY
11205-1600
US
V. Phone/Fax
- Phone: 800-467-7810
- Fax:
- Phone: 800-467-7810
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GITTY
TAUBER
Title or Position: CEO
Credential:
Phone: 800-467-7810