Provider Demographics
NPI:1801220991
Name:GIL RX LLC
Entity Type:Organization
Organization Name:GIL RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MRCIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-847-3322
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92609-0577
Mailing Address - Country:US
Mailing Address - Phone:714-847-3322
Mailing Address - Fax:714-847-3993
Practice Address - Street 1:24 HAMMOND STE C
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-1680
Practice Address - Country:US
Practice Address - Phone:714-847-3322
Practice Address - Fax:714-847-3993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory