Provider Demographics
NPI:1710585385
Name:ECO LABORATORY LLC
Entity type:Organization
Organization Name:ECO LABORATORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/LAB MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-274-2943
Mailing Address - Street 1:526 MAIN ST, ONE ACTON PL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3951
Mailing Address - Country:US
Mailing Address - Phone:978-274-2943
Mailing Address - Fax:978-274-2952
Practice Address - Street 1:1 ACTON PL STE 102
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3951
Practice Address - Country:US
Practice Address - Phone:978-274-2943
Practice Address - Fax:978-274-2952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory