Provider Demographics
NPI:1023605581
Name:NRG LABS LLC
Entity type:Organization
Organization Name:NRG LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT GROUP
Authorized Official - Prefix:
Authorized Official - First Name:NRG
Authorized Official - Middle Name:
Authorized Official - Last Name:GROUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-990-9951
Mailing Address - Street 1:2328 10TH AVE N STE 202
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6612
Mailing Address - Country:US
Mailing Address - Phone:561-990-9951
Mailing Address - Fax:
Practice Address - Street 1:2328 10TH AVE N STE 202
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6612
Practice Address - Country:US
Practice Address - Phone:561-251-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory