Provider Demographics
NPI:1598324261
Name:PRIMA LABS, LLC
Entity Type:Organization
Organization Name:PRIMA LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MILAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FILIPSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-665-0696
Mailing Address - Street 1:3070 WINDWARD PLZ # F130
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-8771
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DR. ALEXANDRA 58
Practice Address - Street 2:
Practice Address - City:KEZMAROK
Practice Address - State:SLOVAKIA
Practice Address - Zip Code:06001
Practice Address - Country:SK
Practice Address - Phone:800-665-0696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7151228381OtherFOREIGN