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NPI Code Detail

MEDICARE: ADVANCED CLIENT SOLUTIONS, LLC

MEDICARE: ADVANCED CLIENT SOLUTIONS, LLC
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
1291U00000XClinical Medical Laboratory
2246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1891397881
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CLIENT SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 4208 EXECUTIVE CENTRE PARKWAY LOOP N
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-6417
Country : US
Telephone Number : 573-301-0902
Fax Number : 888-535-8328
Provider Business Practice Location Address
First Line : 4208 EXECUTIVE CENTRE PARKWAY LOOP N
Second Line :
City : SAINT PETERS
State : MO
Zip : 63376-6417
Country : US
Telephone Number : 573-301-0902
Fax Number : 888-535-8328
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MR. D MARHANKA
Credential :
Telephone Number : 573-301-0902
Provider Enumeration Date : 11/13/2020
Last Update Date : 10/08/2021

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Directions to “ADVANCED CLIENT SOLUTIONS, LLC ” Practice Location

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