Provider Demographics
NPI:1902558992
Name:IN & OUT TESTING LLC
Entity Type:Organization
Organization Name:IN & OUT TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DRANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALOTAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-299-4011
Mailing Address - Street 1:235 W 135TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-2861
Mailing Address - Country:US
Mailing Address - Phone:347-299-4011
Mailing Address - Fax:
Practice Address - Street 1:235 W 135TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-2861
Practice Address - Country:US
Practice Address - Phone:347-299-4011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty