Provider Demographics
NPI:1568126084
Name:LAB METRICS LLC
Entity Type:Organization
Organization Name:LAB METRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:T
Authorized Official - Last Name:BEAUREGARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-548-0851
Mailing Address - Street 1:10708 TROLLEY RUN DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-9387
Mailing Address - Country:US
Mailing Address - Phone:980-358-9792
Mailing Address - Fax:
Practice Address - Street 1:10708 TROLLEY RUN DR
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-9387
Practice Address - Country:US
Practice Address - Phone:980-358-9792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-30
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory