Provider Demographics
NPI:1326439332
Name:CRITERION CHEMISTRIES, LLC
Entity type:Organization
Organization Name:CRITERION CHEMISTRIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-587-9483
Mailing Address - Street 1:2683 PELHAM PKWY
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1354
Mailing Address - Country:US
Mailing Address - Phone:205-358-8851
Mailing Address - Fax:
Practice Address - Street 1:2683 PELHAM PKWY
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1354
Practice Address - Country:US
Practice Address - Phone:205-358-7918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL22793OtherALABAMA DEPT. OF PUBLIC HEALTH
AL01D2181318OtherCLIA