Provider Demographics
NPI:1023877065
Name:K-LAB AND MORE
Entity type:Organization
Organization Name:K-LAB AND MORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:MIKKEA
Authorized Official - Last Name:BEAL
Authorized Official - Suffix:
Authorized Official - Credentials:CCMA
Authorized Official - Phone:912-322-4161
Mailing Address - Street 1:120 OAK STREET
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30453
Mailing Address - Country:US
Mailing Address - Phone:912-322-4161
Mailing Address - Fax:
Practice Address - Street 1:138 SOUTH MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:REIDSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30453
Practice Address - Country:US
Practice Address - Phone:912-322-4161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374700000XNursing Service Related ProvidersTechnicianGroup - Multi-Specialty