Provider Demographics
NPI:1215478227
Name:ACCESS DIAGNOSTICS
Entity type:Organization
Organization Name:ACCESS DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-627-8738
Mailing Address - Street 1:23016 LAKE FOREST DR
Mailing Address - Street 2:SUITE D #363
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1324
Mailing Address - Country:US
Mailing Address - Phone:949-627-8738
Mailing Address - Fax:866-678-5321
Practice Address - Street 1:23016 LAKE FOREST DR
Practice Address - Street 2:SUITE D #363
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1324
Practice Address - Country:US
Practice Address - Phone:949-627-8738
Practice Address - Fax:866-678-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty