National Provider Identifier Database

AT HOME LAB SERVICES LLC
Laboratory Management


Contact Information

AT HOME LAB SERVICES LLC
1212 NE 11TH TER
CAPE CORAL, FL33909-1439
Phone: 863-233-4548
Fax:
Website:
Specialty Taxonomy Code
* Laboratory Management 246QL0900X

* Indicates primary specialty

NPI Profile & details for AT HOME LAB SERVICES LLC

NPI Number 1699640466
Legal business name
LBN
AT HOME LAB SERVICES LLC
Authorized official MADAY BRUZON - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/09/2025
Last updated 10/09/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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