Provider Demographics
NPI:1366151763
Name:ANCHOR LAB SERVICES LLC
Entity type:Organization
Organization Name:ANCHOR LAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-619-5555
Mailing Address - Street 1:3715 NORTHSIDE PKWY NW STE 500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2886
Mailing Address - Country:US
Mailing Address - Phone:678-619-5555
Mailing Address - Fax:404-343-0138
Practice Address - Street 1:3715 NORTHSIDE PKWY NW STE 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2886
Practice Address - Country:US
Practice Address - Phone:678-619-5555
Practice Address - Fax:404-343-0138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory ManagementGroup - Multi-Specialty