Provider Demographics
NPI:1700220589
Name:OFIS LABS INC.
Entity Type:Organization
Organization Name:OFIS LABS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMPESSIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-871-7400
Mailing Address - Street 1:44 ENGLE ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2905
Mailing Address - Country:US
Mailing Address - Phone:201-871-7400
Mailing Address - Fax:201-871-7403
Practice Address - Street 1:44 ENGLE ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2905
Practice Address - Country:US
Practice Address - Phone:201-871-7400
Practice Address - Fax:201-871-7403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory