Provider Demographics
NPI:1134899263
Name:LAB WORQ LLC
Entity type:Organization
Organization Name:LAB WORQ LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAVEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:ZAICHENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-330-2082
Mailing Address - Street 1:818 CENTRAL AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-1543
Mailing Address - Country:US
Mailing Address - Phone:518-330-2082
Mailing Address - Fax:
Practice Address - Street 1:455 GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-5077
Practice Address - Country:US
Practice Address - Phone:518-330-2082
Practice Address - Fax:518-689-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health