Provider Demographics
NPI:1952169278
Name:CULLER, KENDRA (LABS2GO LLC)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:CULLER
Suffix:
Gender:F
Credentials:LABS2GO LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4658 PRESIDENTIAL PKWY # 1233
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-8708
Mailing Address - Country:US
Mailing Address - Phone:478-367-3131
Mailing Address - Fax:
Practice Address - Street 1:2945 S SHORE DRIVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204
Practice Address - Country:US
Practice Address - Phone:478-367-3131
Practice Address - Fax:478-219-1101
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy