1881837680 NPI number — LABOR AND INFORMATION SERVICES, INC.

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 1881837680 NPI number — LABOR AND INFORMATION SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABOR AND INFORMATION SERVICES, INC.
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:
1881837680
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4219 WASHINGTON RD STE 1
Provider Second Line Business Mailing Address:
MULLINS CROSSING
Provider Business Mailing Address City Name:
EVANS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30809-4710
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-228-3663
Provider Business Mailing Address Fax Number:
706-228-3660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4219 WASHINGTON RD STE 1
Provider Second Line Business Practice Location Address:
MULLINS CROSSING
Provider Business Practice Location Address City Name:
EVANS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30809-4710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-228-3663
Provider Business Practice Location Address Fax Number:
706-228-3660
Provider Enumeration Date:
04/09/2009

Additional Information

Authorized Official

Authorized Official Last Name:
LABOR
Authorized Official First Name:
MARION
Authorized Official Middle Name:
F.
Authorized Official Title or Position:
OWNER, PRESIDENT
Authorized Official Telephone Number:
706-228-3663

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  20021026469 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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