Provider Demographics
NPI:1003227646
Name:S&S LABS LLC
Entity Type:Organization
Organization Name:S&S LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:RONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-665-9930
Mailing Address - Street 1:PO BOX 814686
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75381-4686
Mailing Address - Country:US
Mailing Address - Phone:972-665-9930
Mailing Address - Fax:
Practice Address - Street 1:1903 CENTRAL DR STE 220
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5876
Practice Address - Country:US
Practice Address - Phone:817-786-8991
Practice Address - Fax:214-261-5155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory