Provider Demographics
NPI:1619361326
Name:AMERICAN DIAGNOSTICS SERVICES LLC
Entity Type:Organization
Organization Name:AMERICAN DIAGNOSTICS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:AMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-786-8015
Mailing Address - Street 1:6981 N PARK DR
Mailing Address - Street 2:STE 506
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-4205
Mailing Address - Country:US
Mailing Address - Phone:856-317-0506
Mailing Address - Fax:
Practice Address - Street 1:4113 BARDSTOWN RD
Practice Address - Street 2:STE. 103
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-3293
Practice Address - Country:US
Practice Address - Phone:502-493-4715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory