Provider Demographics
NPI:1225737919
Name:L.A.B. PRODUCTIONS, INC.
Entity Type:Organization
Organization Name:L.A.B. PRODUCTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALTHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUREN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:786-553-8955
Mailing Address - Street 1:8380 LAGOS DE CAMPO BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-8512
Mailing Address - Country:US
Mailing Address - Phone:786-553-8955
Mailing Address - Fax:
Practice Address - Street 1:8380 LAGOS DE CAMPO BLVD APT 201
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-8512
Practice Address - Country:US
Practice Address - Phone:786-553-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL690339OtherFLORIDA DEPARTMENT OF EDUCATION