Provider Demographics
NPI:1104324714
Name:SYNCHRONIZED LAB SERVICES LLC
Entity type:Organization
Organization Name:SYNCHRONIZED LAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-799-8712
Mailing Address - Street 1:3160 CABARET TRL S
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2202
Mailing Address - Country:US
Mailing Address - Phone:989-799-8712
Mailing Address - Fax:989-791-4216
Practice Address - Street 1:26154 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-0916
Practice Address - Country:US
Practice Address - Phone:810-219-6861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHIGAN CLINIC NEUROSURGERY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory