Organization
ALLERGY CENTERS OF AMERICA LLC
Active
Other names
ACA Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI PITOVSKI M.D. (CEO)
(336) 760-9838
Entity
Organization
Contact information
Practice address
190 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 760-9838
(336) 760-5275
Mailing address
190 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 760-9838
(336) 760-5275
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NC
Other
Enumeration date
01/23/2006
Last updated
09/06/2007
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