Provider Demographics
NPI:1770273708
Name:ACCOMPLISH TESTING LLC
Entity type:Organization
Organization Name:ACCOMPLISH TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CENAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-885-9483
Mailing Address - Street 1:613 WASHINGTON BLVD # 1273
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-2900
Mailing Address - Country:US
Mailing Address - Phone:919-885-9483
Mailing Address - Fax:
Practice Address - Street 1:15211 89TH AVE APT 703
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3785
Practice Address - Country:US
Practice Address - Phone:919-885-9483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory