Provider Demographics
NPI:1144993734
Name:GRYFFIN'S TALON LLC
Entity type:Organization
Organization Name:GRYFFIN'S TALON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-420-0010
Mailing Address - Street 1:5601 CORPORATE WAY STE 108
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2041
Mailing Address - Country:US
Mailing Address - Phone:561-420-0010
Mailing Address - Fax:
Practice Address - Street 1:5601 CORPORATE WAY STE 108
Practice Address - Street 2:
Practice Address - City:WEST PALM BCH
Practice Address - State:FL
Practice Address - Zip Code:33407-2041
Practice Address - Country:US
Practice Address - Phone:561-420-0010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRYFFIN'S TALON LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory