Provider Demographics
NPI:1184207953
Name:MICHAEL WAIHO YU
Entity Type:Organization
Organization Name:MICHAEL WAIHO YU
Other - Org Name:CLIA LAB CONSULTANT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MBA, MLS (ASCP)
Authorized Official - Phone:626-236-2706
Mailing Address - Street 1:5458 ENCINITA AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-3116
Mailing Address - Country:US
Mailing Address - Phone:626-236-2706
Mailing Address - Fax:
Practice Address - Street 1:5458 ENCINITA AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-3116
Practice Address - Country:US
Practice Address - Phone:626-236-2706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory