Provider Demographics
NPI:1659816130
Name:VAP DIAGNOSTICS LABORATORY INC
Entity Type:Organization
Organization Name:VAP DIAGNOSTICS LABORATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-332-9181
Mailing Address - Street 1:25901 COMMERCENTRE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-8805
Mailing Address - Country:US
Mailing Address - Phone:949-356-0881
Mailing Address - Fax:949-309-1792
Practice Address - Street 1:25901 COMMERCENTRE DR
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-8805
Practice Address - Country:US
Practice Address - Phone:949-356-0881
Practice Address - Fax:949-309-1792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory