Provider Demographics
NPI:1447610357
Name:VISION LABORATORY SOLUTIONS LLC
Entity Type:Organization
Organization Name:VISION LABORATORY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:KROLL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-210-1598
Mailing Address - Street 1:325 SEABOARD LN
Mailing Address - Street 2:STE 110
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6430
Mailing Address - Country:US
Mailing Address - Phone:404-210-1598
Mailing Address - Fax:
Practice Address - Street 1:325 SEABOARD LN
Practice Address - Street 2:STE 110
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6430
Practice Address - Country:US
Practice Address - Phone:404-210-1598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-04
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory