Provider Demographics
NPI:1578262721
Name:COOL LABS
Entity Type:Organization
Organization Name:COOL LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:CRPT,CRPTI,CPRI,CRMA
Authorized Official - Phone:757-774-2373
Mailing Address - Street 1:2200 DUNBARTON DR STE H
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-4920
Mailing Address - Country:US
Mailing Address - Phone:757-774-2373
Mailing Address - Fax:
Practice Address - Street 1:2200 DUNBARTON DR STE H
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-4920
Practice Address - Country:US
Practice Address - Phone:757-774-2373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory