Daily Lab Sources

LBN: Daily Lab Sources
Daily Lab Sources is an health care organization with primary practice located at 2838 S Elm Eugene St Suite 205, Greensboro NC 27406-4410. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Daily Lab Sources can be contacted via phone (704) 953-9432, or through Fulwood, Tyrell Timothy via phone (704) 953-9432.

Contact Information

Primary practice address
2838 S Elm Eugene St Suite 205 Greensboro NC 27406-4410
Phone: (704) 953-9432
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fulwood, Tyrell Timothy
Phone: (704) 953-9432

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1114462934
LBN Legal business name Daily Lab Sources
DBA Doing business as
Authorized official Fulwood, Tyrell Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2017
Last updated Jan 3rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114462934 NPPES
Other 34D2120415 CLIA CERTIFICATE

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