Organization Name: | LABORATORY INDUSTRY SERVICES, LLC |
NPI Number: | 1629305305 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE PAVLIK (MEDICAL LIAISON) |
Mailing Address: | 2980 N Beverly Glen Cir Suite 301 Los Angeles |
State: | CA US |
Postal Code: | 900771726 |
Phone Number: | 3104749809 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2009 |
NPI Last Update Date: | 11/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |