Provider Demographics
NPI:1972289775
Name:NORTH SPRING LAB, LLC
Entity Type:Organization
Organization Name:NORTH SPRING LAB, LLC
Other - Org Name:ANY LAB TEST NOW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR LABORATORY SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-277-8378
Mailing Address - Street 1:7828 N ACADEMY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7828 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920
Practice Address - Country:US
Practice Address - Phone:719-277-8378
Practice Address - Fax:719-277-8353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No291U00000XLaboratoriesClinical Medical Laboratory