Provider Demographics
NPI:1477818011
Name:LABS MADE EASY LLC
Entity Type:Organization
Organization Name:LABS MADE EASY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SLAUGHTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:541-255-3754
Mailing Address - Street 1:10 CRATER LAKE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7445
Mailing Address - Country:US
Mailing Address - Phone:541-255-3754
Mailing Address - Fax:888-293-5254
Practice Address - Street 1:10 CRATER LAKE AVE STE 3
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7445
Practice Address - Country:US
Practice Address - Phone:541-255-3754
Practice Address - Fax:888-293-5254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty