Provider Demographics
NPI:1649687724
Name:SYNAPSE ANALYTICAL LABS LLC
Entity type:Organization
Organization Name:SYNAPSE ANALYTICAL LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-558-6037
Mailing Address - Street 1:PO BOX 26209
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29616-1209
Mailing Address - Country:US
Mailing Address - Phone:984-200-3848
Mailing Address - Fax:
Practice Address - Street 1:5910 SIX FORKS RD STE A
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3894
Practice Address - Country:US
Practice Address - Phone:704-558-6037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory