Provider Demographics
NPI:1750045969
Name:BIOLAB SCIENCES, INC.
Entity Type:Organization
Organization Name:BIOLAB SCIENCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIOR AUTHORIZATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KIRSLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-830-5122
Mailing Address - Street 1:13825 N. NORTHSITE BLVD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:602-830-5122
Mailing Address - Fax:480-546-4524
Practice Address - Street 1:13825 N. NORTHSITE BLVD.
Practice Address - Street 2:SUITE 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:602-830-5122
Practice Address - Fax:480-546-4524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory