Provider Demographics
NPI:1104606565
Name:ON POINT LAB LLC
Entity type:Organization
Organization Name:ON POINT LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAB TECH
Authorized Official - Phone:252-327-8151
Mailing Address - Street 1:921 TOWN CENTRE BLVD STE 1095
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2181
Mailing Address - Country:US
Mailing Address - Phone:252-327-8151
Mailing Address - Fax:191-587-5606
Practice Address - Street 1:921 TOWN CENTRE BLVD STE 1095
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2181
Practice Address - Country:US
Practice Address - Phone:252-327-8151
Practice Address - Fax:191-587-5606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory