Provider Demographics
NPI:1588231799
Name:ONE HEALTH LABORATORIES, LLC
Entity type:Organization
Organization Name:ONE HEALTH LABORATORIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAX
Authorized Official - Middle Name:
Authorized Official - Last Name:PERELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-917-7641
Mailing Address - Street 1:1015 CHESTNUT ST STE 1401
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4300
Mailing Address - Country:US
Mailing Address - Phone:215-515-3342
Mailing Address - Fax:855-940-0157
Practice Address - Street 1:889 WYLIE ST SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-1269
Practice Address - Country:US
Practice Address - Phone:205-515-3342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONE HEALTH LABORATORIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-07
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory