Provider Demographics
NPI:1376714378
Name:LAB HEALTH NETWORK
Entity Type:Organization
Organization Name:LAB HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARTRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-358-4475
Mailing Address - Street 1:2102B S GARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MO
Mailing Address - Zip Code:64836-3614
Mailing Address - Country:US
Mailing Address - Phone:417-358-4475
Mailing Address - Fax:417-358-4407
Practice Address - Street 1:2102B S GARRISON AVE
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MO
Practice Address - Zip Code:64836-3614
Practice Address - Country:US
Practice Address - Phone:417-358-4475
Practice Address - Fax:417-358-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory