Provider Demographics
NPI:1114545688
Name:STS LAB 2 LLC
Entity Type:Organization
Organization Name:STS LAB 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-694-8768
Mailing Address - Street 1:3521 POINT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-9713
Mailing Address - Country:US
Mailing Address - Phone:859-282-7059
Mailing Address - Fax:859-282-7035
Practice Address - Street 1:3521 POINT PLEASANT RD
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-9713
Practice Address - Country:US
Practice Address - Phone:859-282-7059
Practice Address - Fax:859-282-7035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory