Provider Demographics
NPI:1033870563
Name:STEP BY STEP LAB SERVICES LLC
Entity Type:Organization
Organization Name:STEP BY STEP LAB SERVICES LLC
Other - Org Name:STEP BY STEP LABS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-293-4465
Mailing Address - Street 1:22330 CHANCELLORS RUN RD UNIT C
Mailing Address - Street 2:
Mailing Address - City:GREAT MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20634-2424
Mailing Address - Country:US
Mailing Address - Phone:240-293-4465
Mailing Address - Fax:240-293-2751
Practice Address - Street 1:22330 CHANCELLORS RUN RD UNIT C
Practice Address - Street 2:
Practice Address - City:GREAT MILLS
Practice Address - State:MD
Practice Address - Zip Code:20634-2424
Practice Address - Country:US
Practice Address - Phone:240-293-4465
Practice Address - Fax:240-293-2751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service