Provider Demographics
NPI:1457780371
Name:ACCURATE LABS
Entity Type:Organization
Organization Name:ACCURATE LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PODGORNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-207-4187
Mailing Address - Street 1:125 GREENLEAF ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4427
Mailing Address - Country:US
Mailing Address - Phone:617-282-1400
Mailing Address - Fax:
Practice Address - Street 1:606 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7211
Practice Address - Country:US
Practice Address - Phone:617-282-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory