Provider Demographics
NPI:1598421547
Name:CLARCS LLC
Entity Type:Organization
Organization Name:CLARCS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARREAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-557-8069
Mailing Address - Street 1:901 BUTLER DR STE D
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-5107
Mailing Address - Country:US
Mailing Address - Phone:423-557-8069
Mailing Address - Fax:
Practice Address - Street 1:901 BUTLER DR STE D
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-5107
Practice Address - Country:US
Practice Address - Phone:423-557-8069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty