Provider Demographics
NPI:1952488066
Name:A2CL SERVICES, LLC
Entity Type:Organization
Organization Name:A2CL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-389-2657
Mailing Address - Street 1:8901 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2409
Mailing Address - Country:US
Mailing Address - Phone:414-328-7580
Mailing Address - Fax:414-328-7587
Practice Address - Street 1:5400 PEARL ST
Practice Address - Street 2:
Practice Address - City:ROSEMONT
Practice Address - State:IL
Practice Address - Zip Code:60018-5320
Practice Address - Country:US
Practice Address - Phone:847-349-7000
Practice Address - Fax:847-349-7380
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A2CL SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-01
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1710064811OtherNPI
WI1710064811OtherNPI
IL214422Medicare PIN
WI1710064811OtherNPI