Provider Demographics
NPI:1386732485
Name:CAP-LAB PLC
Entity type:Organization
Organization Name:CAP-LAB PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-372-5520
Mailing Address - Street 1:PO BOX 77000
Mailing Address - Street 2:DEPT 77972
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48277-0972
Mailing Address - Country:US
Mailing Address - Phone:517-372-5520
Mailing Address - Fax:517-372-5540
Practice Address - Street 1:2508 SOUTH CEDAR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910
Practice Address - Country:US
Practice Address - Phone:515-737-2552
Practice Address - Fax:517-372-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P48600Medicare PIN
MI0M33540Medicare PIN