Provider Demographics
NPI:1053926642
Name:ATC TESTING AND SCREENING SERVICES LLC
Entity type:Organization
Organization Name:ATC TESTING AND SCREENING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:SAVITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-263-7553
Mailing Address - Street 1:1983 MARCUS AVE STE E122
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1029
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4532 W NAPOLEON AVE STE 202
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2486
Practice Address - Country:US
Practice Address - Phone:914-263-7553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory