Provider Demographics
NPI:1790288587
Name:ACC3 INTERNATIONAL, INC.
Entity Type:Organization
Organization Name:ACC3 INTERNATIONAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT HEALTHCARE DIVISION
Authorized Official - Prefix:MR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:J
Authorized Official - Last Name:MALLIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-441-6522
Mailing Address - Street 1:13446 POWAY RD # 239
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4714
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3340 PEACHTREE RD NE STE 2025
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1084
Practice Address - Country:US
Practice Address - Phone:404-467-9890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier