Provider Demographics
NPI:1023283280
Name:ROCKBRIDGE LABORATORY, LLC
Entity type:Organization
Organization Name:ROCKBRIDGE LABORATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-761-1433
Mailing Address - Street 1:204 E WASHINGTON ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2718
Mailing Address - Country:US
Mailing Address - Phone:540-761-1433
Mailing Address - Fax:866-281-9602
Practice Address - Street 1:204 E WASHINGTON ST
Practice Address - Street 2:SUITE C
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2718
Practice Address - Country:US
Practice Address - Phone:540-761-1433
Practice Address - Fax:866-480-9460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory