Provider Demographics
NPI:1023781994
Name:TRUE MARKER LABORATORY, LLC
Entity type:Organization
Organization Name:TRUE MARKER LABORATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:323-399-5109
Mailing Address - Street 1:200 S LOUISE ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1637
Mailing Address - Country:US
Mailing Address - Phone:885-547-7408
Mailing Address - Fax:888-906-5919
Practice Address - Street 1:200 S LOUISE ST
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1637
Practice Address - Country:US
Practice Address - Phone:885-547-7408
Practice Address - Fax:888-906-5919
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SINGULAR DREAMER, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-27
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory