Provider Demographics
NPI:1093339012
Name:ADVANCED CLINICAL SOLUTION INC
Entity Type:Organization
Organization Name:ADVANCED CLINICAL SOLUTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:ARISTOTLE
Authorized Official - Middle Name:T
Authorized Official - Last Name:RENIERIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-255-4133
Mailing Address - Street 1:6B CULNEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876
Mailing Address - Country:US
Mailing Address - Phone:908-255-4133
Mailing Address - Fax:
Practice Address - Street 1:6 CULNEN DR STE B
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-5490
Practice Address - Country:US
Practice Address - Phone:813-928-7939
Practice Address - Fax:813-642-4907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0450487804OtherINDEPENDENT CLINICAL LABORATORY