Provider Demographics
NPI:1114740560
Name:KESS MAJ LABS LLC
Entity type:Organization
Organization Name:KESS MAJ LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:LATOYA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-929-8134
Mailing Address - Street 1:2832 RANDLEMAN RD STE H-3
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-5193
Mailing Address - Country:US
Mailing Address - Phone:336-929-8134
Mailing Address - Fax:877-552-1628
Practice Address - Street 1:2832 RANDLEMAN RD STE H-3
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-5193
Practice Address - Country:US
Practice Address - Phone:336-929-8134
Practice Address - Fax:877-552-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty