Provider Demographics
NPI:1922263698
Name:LAB EXPRESS INC
Entity Type:Organization
Organization Name:LAB EXPRESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-273-9000
Mailing Address - Street 1:505 W MCDOWELL RD STE A
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85003-1259
Mailing Address - Country:US
Mailing Address - Phone:602-293-9000
Mailing Address - Fax:602-252-0006
Practice Address - Street 1:13708 N 51ST AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1416
Practice Address - Country:US
Practice Address - Phone:602-439-8300
Practice Address - Fax:602-238-9120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAB EXPRESS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-22
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory