Provider Demographics
NPI:1689292153
Name:GLOBAL LAB MANAGEMENT LLC
Entity Type:Organization
Organization Name:GLOBAL LAB MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-324-0550
Mailing Address - Street 1:1813 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1705
Mailing Address - Country:US
Mailing Address - Phone:336-324-0550
Mailing Address - Fax:336-217-8847
Practice Address - Street 1:810 WARREN ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-2340
Practice Address - Country:US
Practice Address - Phone:336-324-0550
Practice Address - Fax:336-217-8847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyGroup - Single Specialty