Provider Demographics
NPI:1477883973
Name:48HRLABS.COM, LLC
Entity Type:Organization
Organization Name:48HRLABS.COM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LATA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-615-3501
Mailing Address - Street 1:25 S ARIZONA PL
Mailing Address - Street 2:SUITE 520
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-5533
Mailing Address - Country:US
Mailing Address - Phone:480-615-3501
Mailing Address - Fax:
Practice Address - Street 1:4852 E BASELINE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4627
Practice Address - Country:US
Practice Address - Phone:480-615-3501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0302000934291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory