Provider Demographics
NPI:1407419955
Name:ALFA LABS INC
Entity Type:Organization
Organization Name:ALFA LABS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ANBALAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-888-9764
Mailing Address - Street 1:509 FOUNDERS WALK DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5796
Mailing Address - Country:US
Mailing Address - Phone:919-888-9764
Mailing Address - Fax:
Practice Address - Street 1:101 WOODWINDS INDUSTRIAL CT STE L
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6241
Practice Address - Country:US
Practice Address - Phone:612-865-6261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory