Provider Demographics
NPI:1659805224
Name:ARJUN LABS LLC
Entity Type:Organization
Organization Name:ARJUN LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JERONDIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ENCIENZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-502-2557
Mailing Address - Street 1:1920 SW 28TH STREET
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-502-2557
Mailing Address - Fax:
Practice Address - Street 1:6600 SW HIGHWAY 200
Practice Address - Street 2:200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476
Practice Address - Country:US
Practice Address - Phone:352-502-2557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory