Provider Demographics
NPI:1114264876
Name:QUALITY LAB SERVICES INC.
Entity Type:Organization
Organization Name:QUALITY LAB SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-297-4084
Mailing Address - Street 1:440 W COLORADO ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1541
Mailing Address - Country:US
Mailing Address - Phone:818-244-2900
Mailing Address - Fax:818-244-2906
Practice Address - Street 1:440 W COLORADO ST
Practice Address - Street 2:SUITE 103
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1541
Practice Address - Country:US
Practice Address - Phone:818-244-2900
Practice Address - Fax:818-244-2906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory