Provider Demographics
NPI:1194318949
Name:INSPIRE LABORATORIES LLC
Entity type:Organization
Organization Name:INSPIRE LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:RIEGER
Authorized Official - Last Name:GAMBILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-344-6038
Mailing Address - Street 1:2603 OSBORNE ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:VA
Mailing Address - Zip Code:24201-2326
Mailing Address - Country:US
Mailing Address - Phone:757-344-6038
Mailing Address - Fax:
Practice Address - Street 1:2603 OSBORNE ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:VA
Practice Address - Zip Code:24201-2326
Practice Address - Country:US
Practice Address - Phone:757-344-6038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory