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General NPI Number Information
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NPI Number | 1194951541
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Entity Type | Organization
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Legal Business Name | ACS DIAGNOSTICS, INC.
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 22912 EL PACIFICO DRIVE
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-855-9366
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Fax | 949-581-1009
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Provider Business Mailing Address
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Address Line | 1 HUGHES UNIT A
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City | IRVINE
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State | CA
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Zip | 92618-2021
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Country | US
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Telephone | 949-855-9366
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Fax | 949-581-1009
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER S. KANE
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Credential |
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Telephone | 949-855-9366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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