Provider Demographics
NPI:1356473177
Name:REDLABS USA INC
Entity Type:Organization
Organization Name:REDLABS USA INC
Other - Org Name:VIRAL IMMUNE PATHOLOGY DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-626-8925
Mailing Address - Street 1:5625 FOX AVE
Mailing Address - Street 2:RM 369
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-1327
Mailing Address - Country:US
Mailing Address - Phone:775-351-1890
Mailing Address - Fax:775-682-8517
Practice Address - Street 1:5625 FOX AVE
Practice Address - Street 2:RM 369
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-1327
Practice Address - Country:US
Practice Address - Phone:775-351-1890
Practice Address - Fax:775-682-8517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV131255291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV101232Medicare ID - Type Unspecified