Provider Demographics
NPI:1528882768
Name:LABS ON THE GO, LLC
Entity type:Organization
Organization Name:LABS ON THE GO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-582-8563
Mailing Address - Street 1:12608 INDIAN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CLEAR SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:21722-1307
Mailing Address - Country:US
Mailing Address - Phone:301-582-8563
Mailing Address - Fax:240-536-9118
Practice Address - Street 1:118 E OAK RIDGE DR STE 2000
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-7890
Practice Address - Country:US
Practice Address - Phone:301-582-8563
Practice Address - Fax:240-536-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical Laboratory