Provider Demographics
NPI:1689078982
Name:LABTOX LLC
Entity Type:Organization
Organization Name:LABTOX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-829-5700
Mailing Address - Street 1:1881 GENERAL GEORGE PATTON DR
Mailing Address - Street 2:STE. 104
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1881 GENERAL GEORGE PATTON DR
Practice Address - Street 2:STE. 104
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4606
Practice Address - Country:US
Practice Address - Phone:615-827-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory