Provider Demographics
NPI:1801508080
Name:LABSER PLC
Entity type:Organization
Organization Name:LABSER PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:313-693-4188
Mailing Address - Street 1:14501 TELEGRAPH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3370
Mailing Address - Country:US
Mailing Address - Phone:313-693-4188
Mailing Address - Fax:248-542-8990
Practice Address - Street 1:14501 TELEGRAPH RD STE 201
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3370
Practice Address - Country:US
Practice Address - Phone:313-693-4188
Practice Address - Fax:248-542-8990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty