Provider Demographics
NPI:1114609310
Name:COMFORT SHIELD LAB SERVICES, LLC
Entity Type:Organization
Organization Name:COMFORT SHIELD LAB SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-404-6381
Mailing Address - Street 1:411 BRANCHWAY RD # 217
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3034
Mailing Address - Country:US
Mailing Address - Phone:804-404-3118
Mailing Address - Fax:804-220-5028
Practice Address - Street 1:411 BRANCHWAY RD # 217
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3034
Practice Address - Country:US
Practice Address - Phone:804-404-3118
Practice Address - Fax:804-220-5028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Multi-Specialty