Provider Demographics
NPI:1669515391
Name:ACCURATE DIAGNOSTICS LABS, INC.
Entity type:Organization
Organization Name:ACCURATE DIAGNOSTICS LABS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUPEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-839-3300
Mailing Address - Street 1:3000 HADLEY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-1183
Mailing Address - Country:US
Mailing Address - Phone:732-839-3300
Mailing Address - Fax:732-839-3303
Practice Address - Street 1:3000 HADLEY RD
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1183
Practice Address - Country:US
Practice Address - Phone:732-839-3300
Practice Address - Fax:732-839-3303
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MATRIX PERSONNEL SOLUTIONS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-14
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00007514291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ96806OtherAMERIGROUP
NJ0493449Medicaid
NJ8428107Medicaid
043079OtherPTAN
NJP00152416OtherRAILROAD MEDICARE
NJ=========OtherUHP
NJ8428107Medicaid
NJ96806OtherAMERIGROUP
NJ=========OtherMAGNACARE
NJ=========OtherMULTIPLAN