Provider Demographics
NPI:1346486644
Name:AMERIDRUG LABORATORIES INC
Entity Type:Organization
Organization Name:AMERIDRUG LABORATORIES INC
Other - Org Name:AMERIDRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:BLANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-377-1722
Mailing Address - Street 1:PO BOX 7446
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-0446
Mailing Address - Country:US
Mailing Address - Phone:970-635-1805
Mailing Address - Fax:970-667-0847
Practice Address - Street 1:6748 N FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-1178
Practice Address - Country:US
Practice Address - Phone:970-635-1805
Practice Address - Fax:970-667-0847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory