Provider Demographics
NPI:1659042539
Name:ALLPRO HEALTH LABS LLC
Entity Type:Organization
Organization Name:ALLPRO HEALTH LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YULANDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-828-1808
Mailing Address - Street 1:19020 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:NY
Mailing Address - Zip Code:11412-1125
Mailing Address - Country:US
Mailing Address - Phone:516-828-1808
Mailing Address - Fax:516-828-2386
Practice Address - Street 1:19020 109TH AVE
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:NY
Practice Address - Zip Code:11412-1125
Practice Address - Country:US
Practice Address - Phone:516-828-1808
Practice Address - Fax:516-828-2386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory