Provider Demographics
NPI:1215219860
Name:ADVANCED CLINICAL LABORATORY SOLUTIONS,INC.
Entity Type:Organization
Organization Name:ADVANCED CLINICAL LABORATORY SOLUTIONS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANATOLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEROVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-998-9899
Mailing Address - Street 1:2277-83 CONEYISLAND AVE
Mailing Address - Street 2:ROOM 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3337
Mailing Address - Country:US
Mailing Address - Phone:718-998-9899
Mailing Address - Fax:718-998-9896
Practice Address - Street 1:2277 83 CONEY ISLAND AVE
Practice Address - Street 2:ROOM 3B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3337
Practice Address - Country:US
Practice Address - Phone:718-998-9899
Practice Address - Fax:718-998-9896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory