Provider Demographics
NPI:1336852268
Name:INFINITY LAB SOLUTIONS
Entity Type:Organization
Organization Name:INFINITY LAB SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BANTLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTHATEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-246-0961
Mailing Address - Street 1:4041 POWDER MILL RD STE 310
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3106
Mailing Address - Country:US
Mailing Address - Phone:202-246-0961
Mailing Address - Fax:
Practice Address - Street 1:4041 POWDER MILL RD STE 310
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3106
Practice Address - Country:US
Practice Address - Phone:202-246-0961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes331L00000XSuppliersBlood Bank