Provider Demographics
NPI:1851998264
Name:P23 LABS, LLC
Entity Type:Organization
Organization Name:P23 LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO , OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTGOMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-567-3348
Mailing Address - Street 1:7426 HODGSON MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2609
Mailing Address - Country:US
Mailing Address - Phone:912-292-0350
Mailing Address - Fax:901-339-6768
Practice Address - Street 1:7426 HODGSON MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2609
Practice Address - Country:US
Practice Address - Phone:912-292-0350
Practice Address - Fax:901-339-6768
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:P23 LABS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory