MEDICARE: ACCURATE DIAGNOSTICS LABS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	00007514	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00152416	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	96806	OTHER	NJ	AMERIGROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	043079	OTHER		PTAN

General Provider Information

NPI Number	:	1669515391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCURATE DIAGNOSTICS LABS, INC.

Provider Business Mailing Address
First Line	:	3000 HADLEY RD
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1183
Country	:	US
Telephone Number	:	732-839-3300
Fax Number	:	732-839-3303

Provider Business Practice Location Address
First Line	:	3000 HADLEY RD
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1183
Country	:	US
Telephone Number	:	732-839-3300
Fax Number	:	732-839-3303

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RUPEN K PATEL
Credential	:
Telephone Number	:	732-839-3300

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/31/2016

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