Provider Demographics
NPI:1255608469
Name:APEX LABS, INC
Entity type:Organization
Organization Name:APEX LABS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-886-2364
Mailing Address - Street 1:6015 BENJAMIN RD
Mailing Address - Street 2:315
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5179
Mailing Address - Country:US
Mailing Address - Phone:813-886-2364
Mailing Address - Fax:
Practice Address - Street 1:6015 BENJAMIN RD
Practice Address - Street 2:315
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5179
Practice Address - Country:US
Practice Address - Phone:813-886-2364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
FL800026361291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL800026361OtherSTATE OF FLORIDA LICENSE