Provider Demographics
NPI:1447764949
Name:ALBERMARLE LABORATORY
Entity Type:Organization
Organization Name:ALBERMARLE LABORATORY
Other - Org Name:ALBERMARLE LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/PHLEBOTOMIST TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:COWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:252-335-5227
Mailing Address - Street 1:110 MEDICAL DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-3374
Mailing Address - Country:US
Mailing Address - Phone:252-335-5227
Mailing Address - Fax:252-335-5226
Practice Address - Street 1:110 MEDICAL DR STE 1
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3374
Practice Address - Country:US
Practice Address - Phone:252-335-5227
Practice Address - Fax:252-335-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Single Specialty