Provider Demographics
NPI:1134820145
Name:ENCORE LAB SERVICES & DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:ENCORE LAB SERVICES & DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRK
Authorized Official - Suffix:
Authorized Official - Credentials:CPT, CET
Authorized Official - Phone:828-461-0244
Mailing Address - Street 1:422 E L ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NC
Mailing Address - Zip Code:28658-2622
Mailing Address - Country:US
Mailing Address - Phone:828-461-0244
Mailing Address - Fax:
Practice Address - Street 1:422 E L ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-2622
Practice Address - Country:US
Practice Address - Phone:828-461-0244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty