Provider Demographics
NPI:1568731404
Name:LFPS, INC
Entity Type:Organization
Organization Name:LFPS, INC
Other - Org Name:LFPS, INC LABORATORY SERVICES, LABS FOR PHYSICIANS & SURGEONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:YEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-381-6666
Mailing Address - Street 1:1535 S D ST STE 210
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3233
Mailing Address - Country:US
Mailing Address - Phone:909-381-6666
Mailing Address - Fax:909-381-6662
Practice Address - Street 1:1535 S D ST STE 210
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3233
Practice Address - Country:US
Practice Address - Phone:909-381-6666
Practice Address - Fax:909-381-6662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D2033522291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory