Provider Demographics
NPI:1831674365
Name:MJL CONTRACTORS INC
Entity Type:Organization
Organization Name:MJL CONTRACTORS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAUDICINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-899-3900
Mailing Address - Street 1:31 FRIENDLY CT STE 105
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-2564
Mailing Address - Country:US
Mailing Address - Phone:540-899-3900
Mailing Address - Fax:
Practice Address - Street 1:31 FRIENDLY CT STE 105
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2564
Practice Address - Country:US
Practice Address - Phone:540-899-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service