Provider Demographics
NPI:1851046791
Name:DRAWN2YOU LAB SERVICES, LLC
Entity Type:Organization
Organization Name:DRAWN2YOU LAB SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-267-5801
Mailing Address - Street 1:12365 BALLENTINE RD
Mailing Address - Street 2:
Mailing Address - City:SARDIS
Mailing Address - State:MS
Mailing Address - Zip Code:38666-5114
Mailing Address - Country:US
Mailing Address - Phone:662-267-5801
Mailing Address - Fax:662-267-5911
Practice Address - Street 1:12365 BALLENTINE RD
Practice Address - Street 2:
Practice Address - City:SARDIS
Practice Address - State:MS
Practice Address - Zip Code:38666-5114
Practice Address - Country:US
Practice Address - Phone:662-934-6856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory