Provider Demographics
NPI:1861148652
Name:AT YOUR SERVICE LABS LLC
Entity type:Organization
Organization Name:AT YOUR SERVICE LABS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:PARKER WAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MSN, RN
Authorized Official - Phone:443-399-2979
Mailing Address - Street 1:9318 BANDERA ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2411
Mailing Address - Country:US
Mailing Address - Phone:443-399-2979
Mailing Address - Fax:
Practice Address - Street 1:9701 APOLLO DR STE 330C
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-4795
Practice Address - Country:US
Practice Address - Phone:443-399-2979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty