Provider Demographics
NPI:1346912466
Name:US HEALTH LABORATORIES
Entity Type:Organization
Organization Name:US HEALTH LABORATORIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAERWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-922-9135
Mailing Address - Street 1:6850 SEPULVEDA BLVD UNIT 220
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4444
Mailing Address - Country:US
Mailing Address - Phone:805-625-9245
Mailing Address - Fax:
Practice Address - Street 1:6850 SEPULVEDA BLVD UNIT 220
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4444
Practice Address - Country:US
Practice Address - Phone:805-625-9245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics