Provider Demographics
NPI:1053008979
Name:SPANISH LAB LLC
Entity type:Organization
Organization Name:SPANISH LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER INTERPRETER
Authorized Official - Prefix:
Authorized Official - First Name:YOSELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYALA MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-531-3632
Mailing Address - Street 1:1916 W YAKIMA ST
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-4957
Mailing Address - Country:US
Mailing Address - Phone:509-531-3632
Mailing Address - Fax:
Practice Address - Street 1:1916 W YAKIMA ST
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-4957
Practice Address - Country:US
Practice Address - Phone:509-531-3632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty