Provider Demographics
NPI:1518621366
Name:ADEVE
Entity Type:Organization
Organization Name:ADEVE
Other - Org Name:USA TESTING COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARTH
Authorized Official - Middle Name:ARUNKUMAR
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:781-439-0037
Mailing Address - Street 1:804 JADE PL
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-5126
Mailing Address - Country:US
Mailing Address - Phone:781-439-0037
Mailing Address - Fax:
Practice Address - Street 1:804 JADE PL
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-5126
Practice Address - Country:US
Practice Address - Phone:323-897-8378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty