ACE CLINICAL LABORATORY, INC
Medical Laboratory at Commack Rd, Commack, NY

License number
New York PFI4386
Category
Medical Laboratory
Type
Clinical Medical Laboratory
License number
New York CLIA33D0674863
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MS. WILLOWMENIA ISDORA COSTA
Title: PRESIDENT
Phone: (631) 462-4400
Address
Address
283 Commack Rd SUITE 204, Commack, NY 11725
National Provider ID: 1235208992
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ACE CLINICAL LABORATORY INC

283 Commack Rd SUITE 315, Commack, NY 11725

Industry:
Clinical Laboratory
Registration:
Oct 30, 1990
Phone:
(631) 462-4400 (Phone)
State ID:
1484927
Business type:
DOMESTIC BUSINESS CORPORATION
Nurse Practitioners:
A C Thomas Md, 283 Commack Rd STE 315, Commack, NY 11725 (Physical),John Uralil (Secretary),A. C. Thomas (President),...
Agent:
B John Uralil,283 Commack Rd STE 315, Commack, NY 11725 (Physical)

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