Provider Demographics
NPI:1265732663
Name:ACCURATE LAB SERVICES, LLC.
Entity type:Organization
Organization Name:ACCURATE LAB SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FE
Authorized Official - Middle Name:
Authorized Official - Last Name:IMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-559-8711
Mailing Address - Street 1:7155 COLLEYVILLE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-8003
Mailing Address - Country:US
Mailing Address - Phone:817-421-4400
Mailing Address - Fax:817-416-1451
Practice Address - Street 1:7155 COLLEYVILLE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-8003
Practice Address - Country:US
Practice Address - Phone:817-421-4400
Practice Address - Fax:817-416-1451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory