Provider Demographics
NPI:1548916448
Name:GLOBAL PROLAB, INC.
Entity type:Organization
Organization Name:GLOBAL PROLAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACKY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-885-0742
Mailing Address - Street 1:21 VESEY RD
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-3745
Mailing Address - Country:US
Mailing Address - Phone:781-885-0742
Mailing Address - Fax:781-885-0763
Practice Address - Street 1:21 VESEY RD
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-3745
Practice Address - Country:US
Practice Address - Phone:781-885-0742
Practice Address - Fax:781-885-0763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty