Provider Demographics
NPI:1568612216
Name:LABS, INC
Entity Type:Organization
Organization Name:LABS, INC
Other - Org Name:LABS-MIDWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HEARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-528-4770
Mailing Address - Street 1:6933-B SOUTH REVERE PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:720-528-4770
Mailing Address - Fax:
Practice Address - Street 1:1110 HIGHLANDS PLAZA DR E
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1340
Practice Address - Country:US
Practice Address - Phone:720-488-4460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO26D1086087291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO06HL05Medicare Oscar/Certification