Provider Demographics
NPI:1437528197
Name:ACCUTHERANOSTICS, INC
Entity Type:Organization
Organization Name:ACCUTHERANOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CERNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-688-9600
Mailing Address - Street 1:875 ELLICOTT ST
Mailing Address - Street 2:SUITE 5080
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1070
Mailing Address - Country:US
Mailing Address - Phone:716-688-9600
Mailing Address - Fax:716-688-9601
Practice Address - Street 1:875 ELLICOTT ST
Practice Address - Street 2:SUITE 5080
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1070
Practice Address - Country:US
Practice Address - Phone:716-688-9600
Practice Address - Fax:716-688-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory