Provider Demographics
NPI:1407235641
Name:GS LABORATORIES, INC
Entity Type:Organization
Organization Name:GS LABORATORIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:PUNZALAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-201-9893
Mailing Address - Street 1:31344 VIA COLINAS
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3912
Mailing Address - Country:US
Mailing Address - Phone:818-208-6787
Mailing Address - Fax:818-208-6788
Practice Address - Street 1:31344 VIA COLINAS
Practice Address - Street 2:SUITE 104
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3912
Practice Address - Country:US
Practice Address - Phone:818-208-6787
Practice Address - Fax:818-208-6788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D2095005291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory