Provider Demographics
NPI:1982041521
Name:ACCURATE MEDICAL LAB INC
Entity Type:Organization
Organization Name:ACCURATE MEDICAL LAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAID
Authorized Official - Middle Name:
Authorized Official - Last Name:ELFAYAR
Authorized Official - Suffix:
Authorized Official - Credentials:VMD, MBA
Authorized Official - Phone:336-833-3367
Mailing Address - Street 1:140 PARKER RD W
Mailing Address - Street 2:SUITE A
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-7425
Mailing Address - Country:US
Mailing Address - Phone:336-833-3367
Mailing Address - Fax:434-688-0517
Practice Address - Street 1:2023 16TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5119
Practice Address - Country:US
Practice Address - Phone:336-833-3367
Practice Address - Fax:434-688-0517
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCURATE MEDICAL LAB
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-22
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34D2057342291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0024403OtherCOLA ID#
NC34D2057342OtherCLIA