Organization
ACADIAN DIAGNOSTIC LABORATORIES LLC
Active
Organization
ACADIAN DIAGNOSTIC LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY S WILKS JR. (OWNER/CEO)
(225) 448-5886
Entity
Organization
Contact information
Practice address
2500 S DECKER LAKE BLVD STE 4, WEST VALLEY CITY, UT 84119-5782
(225) 448-5886
(225) 292-5956
Mailing address
11842 JUSTICE AVE, BATON ROUGE, LA 70816-5324
(225) 448-5886
(225) 292-5956
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46D2114570
CLIA
UT
Enumeration date
09/29/2017
Last updated
10/25/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up