Provider Demographics
NPI:1588269211
Name:TEST NOW LABS LLC
Entity type:Organization
Organization Name:TEST NOW LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAJUANA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:JAMES JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:770-203-5095
Mailing Address - Street 1:304 CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36603-5433
Mailing Address - Country:US
Mailing Address - Phone:770-203-5095
Mailing Address - Fax:
Practice Address - Street 1:4405 SAINT STEPHENS RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36613-3506
Practice Address - Country:US
Practice Address - Phone:251-721-7455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory