Provider Demographics
NPI:1386003598
Name:PYXANT LABS INC
Entity Type:Organization
Organization Name:PYXANT LABS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GAUBATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-593-1165
Mailing Address - Street 1:4720 FORGE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-3524
Mailing Address - Country:US
Mailing Address - Phone:719-593-1165
Mailing Address - Fax:719-593-1625
Practice Address - Street 1:4720 FORGE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-3524
Practice Address - Country:US
Practice Address - Phone:719-593-1165
Practice Address - Fax:719-593-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory