LABS MADE EASY LLC (NPI# 1477818011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477818011 |
Entity Type | Organization |
Organization Name | LABS MADE EASY LLC |
Practice Address |
10 Crater Lake Ave Ste 3 Medford OR 97504-7445 |
Practice Telephone | 5412553754 |
Practice Fax Number | 8882935254 |
Mailing Telephone | 5412553754 |
Mailing Fax Number | 8882935254 |
Enumeration Date | 2012-07-10 |
Last Update Date | 2012-07-26 |
Authorized Official Name | MR. GERALD RAY SLAUGHTER JR. (CEO) |
Authorized Official Telephone | 5412553754 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LABS MADE EASY LLC | 43 Fomalhaut Ave, Blackwood, NJ 08012-2418 |
Street Address |
10 CRATER LAKE AVE STE 3 |
City | MEDFORD |
State | OR |
Zip Code | 97504-7445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518399609 | David Valenza | Technician, Pathology | 250 Willis Ave, Medford, MA 02155-6324 | 2013-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497364665 | Catherine Ebel | Technician, Pathology | 1379 Rhododendron Dr # C, Florence, OR 97439-7405 | 2020-07-23 |
1467936492 | John Michael Stepisnik Jr. | Technician, Pathology | 11103 Sw Lancefield Rd, Mcminnville, OR 97128-8621 | 2018-09-15 |
1922556471 | Christian Valdez | Technician, Pathology | 41385 Fish Hatchery Dr, Scio, OR 97374-9745 | 2016-09-13 |
1578963112 | Linda Louise Worthington | Technician, Pathology | 2213 Se 57th, Portland, OR 97215 | 2014-09-02 |
1184046237 | Shannon Scriven | Technician, Pathology | 1420 Ne Mable Ct, Bend, OR 97701-3722 | 2014-01-08 |
1437773298 | Frank Capobianco | Technician, Pathology | 6464 Sw Borland Rd Ste C5, Tualatin, OR 97062-8856 | 2020-06-07 |
1982851416 | Miranda Heather Richins | Technician, Pathology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2008-08-27 |
Please comment or provide details below to improve the information on LABS MADE EASY LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.