Provider Demographics
NPI:1629432109
Name:CML LABORATORIES, INC.
Entity Type:Organization
Organization Name:CML LABORATORIES, INC.
Other - Org Name:US REFERENCE LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDNET & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-264-8904
Mailing Address - Street 1:15375 BARRANCA PKWY
Mailing Address - Street 2:SUITE F-101
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2217
Mailing Address - Country:US
Mailing Address - Phone:949-264-8904
Mailing Address - Fax:
Practice Address - Street 1:15375 BARRANCA PKWY
Practice Address - Street 2:SUITE F-101
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2217
Practice Address - Country:US
Practice Address - Phone:949-264-8904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D0664072291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory