Provider Demographics
NPI:1700652617
Name:L.A.T LAB SOLUTIONS, LLC
Entity Type:Organization
Organization Name:L.A.T LAB SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:813-461-5888
Mailing Address - Street 1:205 W SHELL POINT RD # B
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-3706
Mailing Address - Country:US
Mailing Address - Phone:813-461-5888
Mailing Address - Fax:813-296-1366
Practice Address - Street 1:205 W SHELL POINT RD # B
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-3706
Practice Address - Country:US
Practice Address - Phone:813-461-5888
Practice Address - Fax:813-296-1366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory