Provider Demographics
NPI:1124486402
Name:SATYA LABS LLC
Entity type:Organization
Organization Name:SATYA LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-477-7246
Mailing Address - Street 1:1101 PROFESSIONAL BLVD
Mailing Address - Street 2:STE. 210 B
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-8016
Mailing Address - Country:US
Mailing Address - Phone:812-214-4099
Mailing Address - Fax:812-437-1315
Practice Address - Street 1:1101 PROFESSIONAL BLVD
Practice Address - Street 2:STE. 210 B
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-8016
Practice Address - Country:US
Practice Address - Phone:812-214-4099
Practice Address - Fax:812-437-1315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN15D2107547OtherCLIA