Provider Demographics
NPI:1821742206
Name:INFINITY LABORATORIES, LLC
Entity type:Organization
Organization Name:INFINITY LABORATORIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-299-5227
Mailing Address - Street 1:2202 US HIGHWAY 380 STE 107
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:TX
Mailing Address - Zip Code:76426-2177
Mailing Address - Country:US
Mailing Address - Phone:833-569-0440
Mailing Address - Fax:
Practice Address - Street 1:2202 US HIGHWAY 380 STE 107
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:TX
Practice Address - Zip Code:76426-2177
Practice Address - Country:US
Practice Address - Phone:833-569-0440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory