Provider Demographics
NPI:1215392816
Name:HPR LABORATORIES
Entity Type:Organization
Organization Name:HPR LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHESHTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-929-7956
Mailing Address - Street 1:3151 AIRWAY AVE
Mailing Address - Street 2:UNIT G1
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4607
Mailing Address - Country:US
Mailing Address - Phone:949-706-5215
Mailing Address - Fax:657-699-3063
Practice Address - Street 1:3151 AIRWAY AVE
Practice Address - Street 2:UNIT G1
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4607
Practice Address - Country:US
Practice Address - Phone:949-706-5215
Practice Address - Fax:657-699-3063
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALING PATH RECOVERY, A PROFESSIONAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-23
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLA00346392291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory