Provider Demographics
NPI:1033421490
Name:ACCATUR DIAGNOSTICS II LLC
Entity Type:Organization
Organization Name:ACCATUR DIAGNOSTICS II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATZEL
Authorized Official - Suffix:
Authorized Official - Credentials:JD, LLM
Authorized Official - Phone:626-440-1340
Mailing Address - Street 1:PO BOX 60847
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91116-6847
Mailing Address - Country:US
Mailing Address - Phone:626-440-1340
Mailing Address - Fax:626-403-6050
Practice Address - Street 1:18102 SKY PARK CIR
Practice Address - Street 2:SUITE F
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6531
Practice Address - Country:US
Practice Address - Phone:626-440-1340
Practice Address - Fax:626-403-6050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D0895548291U00000X
CACLF00349069291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory