Provider Demographics
NPI:1033520028
Name:PERKINELMER LABS, INC.
Entity Type:Organization
Organization Name:PERKINELMER LABS, INC.
Other - Org Name:CARRIER TESTING SERIVCES (SUBPART OF PARENT ONLY)
Other - Org Type:Other Name
Authorized Official - Title/Position:SITE LEADER/PKI LAB
Authorized Official - Prefix:MS
Authorized Official - First Name:MANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-425-0800
Mailing Address - Street 1:80 RULAND RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4211
Mailing Address - Country:US
Mailing Address - Phone:631-425-0800
Mailing Address - Fax:631-425-0811
Practice Address - Street 1:80 RULAND RD
Practice Address - Street 2:SUITE #1
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4211
Practice Address - Country:US
Practice Address - Phone:631-425-0800
Practice Address - Fax:631-425-0811
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERKINELMER LABS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory