Provider Demographics
NPI:1376645135
Name:UP SERVICES INC
Entity Type:Organization
Organization Name:UP SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-578-8803
Mailing Address - Street 1:215 THOMPSON ST STE 125
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1360
Mailing Address - Country:US
Mailing Address - Phone:888-266-2095
Mailing Address - Fax:718-423-0434
Practice Address - Street 1:7200 CAMINO REAL STE 330
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5511
Practice Address - Country:US
Practice Address - Phone:561-453-1234
Practice Address - Fax:561-453-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Multi-Specialty
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathologyGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02198598Medicaid
NY02198598Medicaid