Provider Demographics
NPI:1861062986
Name:ARCTICAX US LTD
Entity type:Organization
Organization Name:ARCTICAX US LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP- OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:GERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELGRAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:647-281-1545
Mailing Address - Street 1:747 SW 2ND AVENUE
Mailing Address - Street 2:IMB #15, SUITE 329
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601
Mailing Address - Country:US
Mailing Address - Phone:866-964-5182
Mailing Address - Fax:866-964-5184
Practice Address - Street 1:747 SW 2ND AVE # 15
Practice Address - Street 2:IMB #15, SUITE 329
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-6279
Practice Address - Country:US
Practice Address - Phone:866-964-5182
Practice Address - Fax:866-964-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory