1871247221 NPI number — LABS NOW L.L.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871247221 NPI number — LABS NOW L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABS NOW L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871247221
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/05/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 WALL BLVD # E131
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRETNA
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70056-7768
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 WALL BLVD # E131
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRETNA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70056-7768
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
238-265-0331
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/04/2022

Additional Information

Authorized Official

Authorized Official Last Name:
ROACH
Authorized Official First Name:
TYTEILA
Authorized Official Middle Name:
MORDRIA
Authorized Official Title or Position:
OWNER/DIRECTOR
Authorized Official Telephone Number:
228-265-0331

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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