Provider Demographics
NPI:1386396240
Name:U PROVE IT, LLC
Entity type:Organization
Organization Name:U PROVE IT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-489-3781
Mailing Address - Street 1:7330 STAPLES MILL RD # 261
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4122
Mailing Address - Country:US
Mailing Address - Phone:804-489-3781
Mailing Address - Fax:804-988-5437
Practice Address - Street 1:904 OLIVER HILL WAY APT 409
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1630
Practice Address - Country:US
Practice Address - Phone:804-489-3781
Practice Address - Fax:804-988-5437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory