Provider Demographics
NPI:1316744865
Name:SKILLED LABS DIAGNOSTICS, LLC
Entity type:Organization
Organization Name:SKILLED LABS DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MOBILE PHLEBOTOMIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAVADA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-385-5645
Mailing Address - Street 1:4690 MILLENNIUM DR FL 3
Mailing Address - Street 2:
Mailing Address - City:BELCAMP
Mailing Address - State:MD
Mailing Address - Zip Code:21017-1523
Mailing Address - Country:US
Mailing Address - Phone:855-400-3575
Mailing Address - Fax:
Practice Address - Street 1:4690 MILLENNIUM DR FL 3
Practice Address - Street 2:
Practice Address - City:BELCAMP
Practice Address - State:MD
Practice Address - Zip Code:21017-1523
Practice Address - Country:US
Practice Address - Phone:800-385-5645
Practice Address - Fax:800-385-5645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty