Provider Demographics
NPI:1831888684
Name:EUROFINS DIATHERIX LABORATORIES LLC
Entity type:Organization
Organization Name:EUROFINS DIATHERIX LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:URBANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-799-1610
Mailing Address - Street 1:601 GENOME WAY STE 2100
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2910
Mailing Address - Country:US
Mailing Address - Phone:866-979-4242
Mailing Address - Fax:
Practice Address - Street 1:12701 PLANTSIDE DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-6388
Practice Address - Country:US
Practice Address - Phone:866-979-4242
Practice Address - Fax:256-327-9483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory