Provider Demographics
NPI:1285223073
Name:INSTALAB CORP
Entity Type:Organization
Organization Name:INSTALAB CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-837-9242
Mailing Address - Street 1:7319 MATTHEWS MINT HILL RD # 1023
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7594
Mailing Address - Country:US
Mailing Address - Phone:336-837-9242
Mailing Address - Fax:
Practice Address - Street 1:7319 MATTHEWS MINT HILL RD # 1023
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-7594
Practice Address - Country:US
Practice Address - Phone:336-837-9242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory