Healthcare Provider Details

I. General information

NPI: 1609793504
Provider Name (Legal Business Name): LAB OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 DODGE ST
BEVERLY MA
01915-1711
US

IV. Provider business mailing address

50 DODGE ST
BEVERLY MA
01915-1711
US

V. Phone/Fax

Practice location:
  • Phone: 917-767-1104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ZAKA SHAFIQ
Title or Position: OWNER
Credential:
Phone: 917-767-1104