Provider Demographics
NPI:1164174363
Name:PERFECT SERVICE SOLUTIONS LLC
Entity Type:Organization
Organization Name:PERFECT SERVICE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RASHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:LILLY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:757-706-1208
Mailing Address - Street 1:1503 EMERALD LAKE CIR APT 103
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-3144
Mailing Address - Country:US
Mailing Address - Phone:757-706-1208
Mailing Address - Fax:
Practice Address - Street 1:1503 EMERALD LAKE CIR APT 103
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3144
Practice Address - Country:US
Practice Address - Phone:757-706-1208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory