Provider Demographics
NPI:1396131116
Name:ALPHA LABS, INC.
Entity type:Organization
Organization Name:ALPHA LABS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIPIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADHLAKHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-733-9454
Mailing Address - Street 1:5635 W 96TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-6011
Mailing Address - Country:US
Mailing Address - Phone:317-733-9454
Mailing Address - Fax:
Practice Address - Street 1:1025 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1314
Practice Address - Country:US
Practice Address - Phone:317-733-9454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory