Provider Demographics
NPI:1932586427
Name:ACUTIS DIAGNOSTICS INC
Entity Type:Organization
Organization Name:ACUTIS DIAGNOSTICS INC
Other - Org Name:ACUTIS DIAGNOSTICS
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIJ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:844-522-8847
Mailing Address - Street 1:400 KARIN LN
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5352
Mailing Address - Country:US
Mailing Address - Phone:844-522-8847
Mailing Address - Fax:
Practice Address - Street 1:400 KARIN LN
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5352
Practice Address - Country:US
Practice Address - Phone:844-522-8847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33D2087537291U00000X
291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ31D2257243OtherCLIA