Provider Demographics
NPI:1740780014
Name:LABS ON THE GO, LLC
Entity Type:Organization
Organization Name:LABS ON THE GO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:DUHON
Authorized Official - Suffix:
Authorized Official - Credentials:NCPT
Authorized Official - Phone:337-202-5330
Mailing Address - Street 1:303 COLES CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-5791
Mailing Address - Country:US
Mailing Address - Phone:337-298-9496
Mailing Address - Fax:337-565-2553
Practice Address - Street 1:303 COLES CREEK DR
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-5791
Practice Address - Country:US
Practice Address - Phone:337-202-5330
Practice Address - Fax:337-565-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA664449246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty