Provider Demographics
NPI:1013249234
Name:ACCATUR DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:ACCATUR DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PALM-LEIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-440-1340
Mailing Address - Street 1:766 E COLORADO BLVD
Mailing Address - Street 2:STE. 104
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2195
Mailing Address - Country:US
Mailing Address - Phone:626-440-1340
Mailing Address - Fax:800-428-1134
Practice Address - Street 1:766 E COLORADO BLVD
Practice Address - Street 2:STE. 104
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2195
Practice Address - Country:US
Practice Address - Phone:626-440-1340
Practice Address - Fax:800-428-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-13
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies