Provider Demographics
NPI:1063021129
Name:AFFORDABLE LAB SOLUTIONS
Entity Type:Organization
Organization Name:AFFORDABLE LAB SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KINSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-276-9240
Mailing Address - Street 1:1121 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-3721
Mailing Address - Country:US
Mailing Address - Phone:812-276-9240
Mailing Address - Fax:
Practice Address - Street 1:1121 16TH ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-3721
Practice Address - Country:US
Practice Address - Phone:812-276-9240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center