Provider Demographics
NPI:1538503370
Name:UNIVERSAL BIOPHARMA RESEARCH INSTITUTE INC
Entity Type:Organization
Organization Name:UNIVERSAL BIOPHARMA RESEARCH INSTITUTE INC
Other - Org Name:UNIVERSAL BIOMEDICAL RESEARCH LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KULDIP
Authorized Official - Middle Name:
Authorized Official - Last Name:THUSU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:559-288-1871
Mailing Address - Street 1:5120 E COPPER AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-8620
Mailing Address - Country:US
Mailing Address - Phone:559-288-1871
Mailing Address - Fax:559-272-0373
Practice Address - Street 1:1300 N FRESNO ST
Practice Address - Street 2:UNIVERSAL BIOMEDICAL RESEARCH LABORATORY
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-3845
Practice Address - Country:US
Practice Address - Phone:503-816-9367
Practice Address - Fax:559-498-0821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D2055575291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory