Provider Demographics
NPI:1952546343
Name:LAB FIRST INC
Entity Type:Organization
Organization Name:LAB FIRST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-627-2521
Mailing Address - Street 1:215 W JEFFERSON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-2361
Mailing Address - Country:US
Mailing Address - Phone:850-627-2521
Mailing Address - Fax:850-627-1992
Practice Address - Street 1:215 W JEFFERSON ST STE 3
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-2361
Practice Address - Country:US
Practice Address - Phone:850-627-2521
Practice Address - Fax:850-627-1992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL800024432291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory