Provider Demographics
NPI:1134697196
Name:SBH LABS
Entity type:Organization
Organization Name:SBH LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANNALISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-467-2627
Mailing Address - Street 1:17921 SKY PARK CIR
Mailing Address - Street 2:STE A
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614
Mailing Address - Country:US
Mailing Address - Phone:844-352-3552
Mailing Address - Fax:949-606-9052
Practice Address - Street 1:17921 SKY PARK CIR
Practice Address - Street 2:STE A
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614
Practice Address - Country:US
Practice Address - Phone:844-352-3552
Practice Address - Fax:949-606-9052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-08
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory