Provider Demographics
NPI:1568035079
Name:RESOURCE LABS
Entity type:Organization
Organization Name:RESOURCE LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:301-974-1183
Mailing Address - Street 1:1404 WOODMEAD CT
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-2229
Mailing Address - Country:US
Mailing Address - Phone:301-974-1183
Mailing Address - Fax:
Practice Address - Street 1:5017 GERONIMO ST
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1782
Practice Address - Country:US
Practice Address - Phone:301-974-1183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory