Provider Demographics
NPI:1689142317
Name:3 B LABS
Entity Type:Organization
Organization Name:3 B LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:DODD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:731-513-1209
Mailing Address - Street 1:3011 GREYSTONE SQ
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3590
Mailing Address - Country:US
Mailing Address - Phone:731-513-1209
Mailing Address - Fax:731-265-6620
Practice Address - Street 1:3011 GREYSTONE SQ
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3590
Practice Address - Country:US
Practice Address - Phone:731-513-1209
Practice Address - Fax:731-265-6620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies