Provider Demographics
NPI:1750954467
Name:YOUR TIME LABS AND MORE LLC
Entity type:Organization
Organization Name:YOUR TIME LABS AND MORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SADAWN
Authorized Official - Middle Name:GOODE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:824-245-7064
Mailing Address - Street 1:430 WESTOVER PINES DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-3458
Mailing Address - Country:US
Mailing Address - Phone:804-245-7064
Mailing Address - Fax:
Practice Address - Street 1:430 WESTOVER PINES DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-3458
Practice Address - Country:US
Practice Address - Phone:804-245-7064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty