Organization
ATLANTIC DIAGNOSTICS LLC
Active
Other names
ATLANTIC DIAGNOSTICS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GEORGE SAVVIDES (VP OF OPERATIONS)
(310) 905-6441
Entity
Organization
Contact information
Practice address
124 9TH ST STE 260, BROOKLYN, NY 11215-3706
(332) 208-8824
(332) 262-5789
Mailing address
5930 W JEFFERSON BLVD, LOS ANGELES, CA 90016-4306
(310) 905-6441
(213) 559-0676
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D2069816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33D2152435
CLIA ID
NY
Enumeration date
12/19/2014
Last updated
03/11/2023
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