Provider Demographics
NPI:1083298541
Name:SECURED LABS, LLC
Entity Type:Organization
Organization Name:SECURED LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:LASHE
Authorized Official - Last Name:FLAGG
Authorized Official - Suffix:
Authorized Official - Credentials:LICENCE
Authorized Official - Phone:443-337-3212
Mailing Address - Street 1:2301 PENTLAND DR APT 305
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7299
Mailing Address - Country:US
Mailing Address - Phone:443-337-3212
Mailing Address - Fax:
Practice Address - Street 1:2301 PENTLAND DR APT 305
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-7299
Practice Address - Country:US
Practice Address - Phone:443-337-3212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty