Provider Demographics
NPI:1528564002
Name:UNITED LAB SERVICES INC.
Entity Type:Organization
Organization Name:UNITED LAB SERVICES INC.
Other - Org Name:ULS ALLCARE HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANABELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-444-0467
Mailing Address - Street 1:3811 BEDFORD CANYON RD.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-4465
Mailing Address - Country:US
Mailing Address - Phone:951-444-0467
Mailing Address - Fax:951-582-4758
Practice Address - Street 1:3811 BEDFORD CANYON RD.
Practice Address - Street 2:SUITE 104
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4465
Practice Address - Country:US
Practice Address - Phone:951-444-0467
Practice Address - Fax:951-582-4758
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED LAB SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-03
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center