Provider Demographics
NPI:1134200488
Name:FERTILITY ANSWERS LAB, LLC
Entity type:Organization
Organization Name:FERTILITY ANSWERS LAB, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GOLDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUPTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-536-7738
Mailing Address - Street 1:15821 VENTURA BLVD, SUITE 625
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436
Mailing Address - Country:US
Mailing Address - Phone:225-926-6886
Mailing Address - Fax:225-922-3730
Practice Address - Street 1:500 RUE DE LA VIE SUITE 510
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817
Practice Address - Country:US
Practice Address - Phone:818-858-1080
Practice Address - Fax:225-922-3730
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FPG LABS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-17
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory