Provider Demographics
NPI:1649006917
Name:ACCULAB PLUS LLC
Entity type:Organization
Organization Name:ACCULAB PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:TARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-336-1831
Mailing Address - Street 1:46 E CHURCH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-6221
Mailing Address - Country:US
Mailing Address - Phone:276-276-8963
Mailing Address - Fax:276-644-5331
Practice Address - Street 1:46 E CHURCH ST STE 4
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-6221
Practice Address - Country:US
Practice Address - Phone:276-276-8963
Practice Address - Fax:276-644-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory