Provider Demographics
NPI:1821270109
Name:HOME HEALTHCARE LABORATORY OF AMERICA, LLC
Entity Type:Organization
Organization Name:HOME HEALTHCARE LABORATORY OF AMERICA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO EVP TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-522-4452
Mailing Address - Street 1:320 PREMIER CT S
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8248
Mailing Address - Country:US
Mailing Address - Phone:800-522-4452
Mailing Address - Fax:
Practice Address - Street 1:320 PREMIER CT S
Practice Address - Street 2:ENVELOPE
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8248
Practice Address - Country:US
Practice Address - Phone:800-522-4452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory