Provider Demographics
NPI:1417281916
Name:GERMAINE LABORATORIES, INC.
Entity Type:Organization
Organization Name:GERMAINE LABORATORIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALES & MARKETING
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-692-4192
Mailing Address - Street 1:11030 WYE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-2616
Mailing Address - Country:US
Mailing Address - Phone:210-692-4192
Mailing Address - Fax:210-692-4198
Practice Address - Street 1:11030 WYE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2616
Practice Address - Country:US
Practice Address - Phone:210-692-4192
Practice Address - Fax:210-692-4198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies