Organization
ATLANTIC DIAGNOSTICS LLC
Active
Organization
ATLANTIC DIAGNOSTICS LLC
Active
Other names
ATLANTIC DIAGNOSTICS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLLE SAPO (DIRECTOR)
(678) 313-1027
Entity
Organization
Contact information
Practice address
9415 CULVER BLVD, CULVER CITY, CA 90232-2616
(332) 208-8824
(332) 296-7972
Mailing address
9415 CULVER BLVD, CULVER CITY, CA 90232-2616
(332) 208-8824
(332) 296-7972
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
08/28/2026
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