Provider Demographics
NPI:1134885155
Name:IN & OUT LAB SCREENINGS LTD LIABILTY COMPANY
Entity type:Organization
Organization Name:IN & OUT LAB SCREENINGS LTD LIABILTY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONIERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-903-5272
Mailing Address - Street 1:1900 LEDO RD STE B
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-1813
Mailing Address - Country:US
Mailing Address - Phone:222-903-5272
Mailing Address - Fax:229-808-1970
Practice Address - Street 1:1900 LEDO RD STE B
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1813
Practice Address - Country:US
Practice Address - Phone:229-903-5272
Practice Address - Fax:229-808-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-14
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center