Provider Demographics
NPI:1023439809
Name:ORANGE COUNTY LABS INC.
Entity type:Organization
Organization Name:ORANGE COUNTY LABS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-894-1591
Mailing Address - Street 1:17672 BEACH BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-6836
Mailing Address - Country:US
Mailing Address - Phone:714-894-1591
Mailing Address - Fax:714-894-1590
Practice Address - Street 1:17672 BEACH BLVD STE F
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6836
Practice Address - Country:US
Practice Address - Phone:714-894-1591
Practice Address - Fax:714-894-1590
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORANGE COUNTY LABS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-23
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D2068755291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory