Provider Demographics
NPI:1679213714
Name:METRO LABS, LLC
Entity type:Organization
Organization Name:METRO LABS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAIFULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BABU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:904-846-4346
Mailing Address - Street 1:8563 ARGYLE BUSINESS LOOP
Mailing Address - Street 2:STE 3
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244
Mailing Address - Country:US
Mailing Address - Phone:904-846-4346
Mailing Address - Fax:
Practice Address - Street 1:8563 ARGYLE BUSINESS LOOP STE 5
Practice Address - Street 2:STE 3
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-3224
Practice Address - Country:US
Practice Address - Phone:904-439-3414
Practice Address - Fax:904-494-0291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory