Provider Demographics
NPI:1437704558
Name:FAIRPRICELABS
Entity Type:Organization
Organization Name:FAIRPRICELABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-775-5582
Mailing Address - Street 1:PO BOX 1136
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-8136
Mailing Address - Country:US
Mailing Address - Phone:888-845-2283
Mailing Address - Fax:
Practice Address - Street 1:309 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-1659
Practice Address - Country:US
Practice Address - Phone:888-845-2283
Practice Address - Fax:931-327-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty