Organization
ACA LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI ZIVKO PITOVSKI MD (CEO)
(843) 747-4294
Entity
Organization
Contact information
Practice address
113 ETIWAN DR, GOOSE CREEK, SC 29445-3073
(843) 747-4294
(843) 747-4298
Mailing address
PO BOX 1726, GOOSE CREEK, SC 29445-1726
(843) 747-4294
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
42D2043357
SC
Other
Enumeration date
07/29/2011
Last updated
07/10/2013
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