Provider Demographics
NPI:1083064950
Name:VERTICAL LABORATORY SERVICES SERIES, LLC
Entity Type:Organization
Organization Name:VERTICAL LABORATORY SERVICES SERIES, LLC
Other - Org Name:ESSENCE LABORATORIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-335-3991
Mailing Address - Street 1:2020 FIELDSTONE PKWY
Mailing Address - Street 2:SUITE 900-226
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-4337
Mailing Address - Country:US
Mailing Address - Phone:615-335-3991
Mailing Address - Fax:615-691-7684
Practice Address - Street 1:2239 POYDRAS ST
Practice Address - Street 2:SUITE 212
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7561
Practice Address - Country:US
Practice Address - Phone:504-252-9992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory