Provider Demographics
NPI:1679161327
Name:WORKPLACE SCREENING INTELLIGENCE
Entity type:Organization
Organization Name:WORKPLACE SCREENING INTELLIGENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DUBOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-228-7210
Mailing Address - Street 1:4443 PINE GOLD AVE
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-6608
Mailing Address - Country:US
Mailing Address - Phone:321-228-7210
Mailing Address - Fax:321-256-5091
Practice Address - Street 1:110 ATHLETES ROW
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-6326
Practice Address - Country:US
Practice Address - Phone:321-228-7210
Practice Address - Fax:321-256-5091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory