Provider Demographics
NPI:1508345976
Name:ENCOUNTER MEDICAL LABORATORY SERVICES
Entity Type:Organization
Organization Name:ENCOUNTER MEDICAL LABORATORY SERVICES
Other - Org Name:EMEDICAL LABORATORY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, FOUNDER & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:IFARINDE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-895-9363
Mailing Address - Street 1:PO BOX 4950
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30023-4950
Mailing Address - Country:US
Mailing Address - Phone:678-895-9363
Mailing Address - Fax:678-786-4141
Practice Address - Street 1:3075 RONALD REAGAN BLVD STE 501
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6052
Practice Address - Country:US
Practice Address - Phone:678-736-6000
Practice Address - Fax:678-786-4141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory