Provider Demographics
NPI:1730807454
Name:ALLURECARE USA
Entity type:Organization
Organization Name:ALLURECARE USA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-916-7032
Mailing Address - Street 1:3827 ROSWELL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6297
Mailing Address - Country:US
Mailing Address - Phone:678-916-7032
Mailing Address - Fax:678-550-9862
Practice Address - Street 1:3827 ROSWELL RD STE 100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6297
Practice Address - Country:US
Practice Address - Phone:678-916-7032
Practice Address - Fax:678-550-9862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty