Provider Demographics
NPI:1760286462
Name:LABS EASY LLC
Entity type:Organization
Organization Name:LABS EASY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VENUGOPAL
Authorized Official - Middle Name:R
Authorized Official - Last Name:AMBEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-500-7030
Mailing Address - Street 1:4500 DALY DR STE 240
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3725
Mailing Address - Country:US
Mailing Address - Phone:571-500-7030
Mailing Address - Fax:571-380-9934
Practice Address - Street 1:42775 GENERATION DR STE 100
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-4317
Practice Address - Country:US
Practice Address - Phone:571-500-7030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory