Provider Demographics
NPI:1972740637
Name:A.C.A. CLINICAL LABORATORIES, LLC
Entity type:Organization
Organization Name:A.C.A. CLINICAL LABORATORIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-708-1335
Mailing Address - Street 1:2930 E FONTANA CT
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6804
Mailing Address - Country:US
Mailing Address - Phone:989-708-1335
Mailing Address - Fax:561-383-5625
Practice Address - Street 1:999 SW 71ST AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-2313
Practice Address - Country:US
Practice Address - Phone:989-708-1335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A.C.A. LABORATORIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory