Provider Demographics
NPI:1134794233
Name:KOMFORT LABS, LLC
Entity type:Organization
Organization Name:KOMFORT LABS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMEIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-393-2903
Mailing Address - Street 1:3601 HILTON AVE
Mailing Address - Street 2:STE 224
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904
Mailing Address - Country:US
Mailing Address - Phone:706-780-1022
Mailing Address - Fax:
Practice Address - Street 1:3601 HILTON AVENUE
Practice Address - Street 2:SUITE 224
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904
Practice Address - Country:US
Practice Address - Phone:706-780-1022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory ManagementGroup - Single Specialty