Provider Demographics
NPI:1689340267
Name:GH LABB LLC
Entity Type:Organization
Organization Name:GH LABB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIACOBBE LANEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-566-1487
Mailing Address - Street 1:6302 BENJAMIN RD STE 400
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5116
Mailing Address - Country:US
Mailing Address - Phone:866-566-1487
Mailing Address - Fax:410-381-8611
Practice Address - Street 1:6302 BENJAMIN RD STE 400
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5116
Practice Address - Country:US
Practice Address - Phone:866-566-1487
Practice Address - Fax:410-381-8611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory