Provider Demographics
NPI:1114084167
Name:EUROFINS DONOR & PRODUCT TESTING INC
Entity Type:Organization
Organization Name:EUROFINS DONOR & PRODUCT TESTING INC
Other - Org Name:EUROFINS VRL, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-875-5227
Mailing Address - Street 1:6933 S REVERE PKWY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6738
Mailing Address - Country:US
Mailing Address - Phone:855-875-5227
Mailing Address - Fax:
Practice Address - Street 1:2100 W 3RD ST STE 301
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2285
Practice Address - Country:US
Practice Address - Phone:213-229-3654
Practice Address - Fax:213-484-6652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF00011825291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05-HL08Medicare Oscar/Certification