Provider Demographics
NPI:1699854422
Name:LAB EXPRESS INC
Entity Type:Organization
Organization Name:LAB EXPRESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-273-9000
Mailing Address - Street 1:505 W MCDOWELL RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-1259
Mailing Address - Country:US
Mailing Address - Phone:602-293-9000
Mailing Address - Fax:602-252-0006
Practice Address - Street 1:505 W MCDOWELL RD
Practice Address - Street 2:BUILDING A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1259
Practice Address - Country:US
Practice Address - Phone:602-293-9000
Practice Address - Fax:602-252-0006
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAB EXPRESS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-03
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory