Provider Demographics
NPI:1710508882
Name:AFFORDABLE LABS LLC
Entity Type:Organization
Organization Name:AFFORDABLE LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-290-2459
Mailing Address - Street 1:11832 NEWCASTLE AVE STE 17
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-8987
Mailing Address - Country:US
Mailing Address - Phone:225-389-5020
Mailing Address - Fax:225-344-1133
Practice Address - Street 1:11832 NEWCASTLE AVE STE 17
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8987
Practice Address - Country:US
Practice Address - Phone:225-389-5020
Practice Address - Fax:225-344-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory