Provider Demographics
NPI:1265973887
Name:LABPRO DIAGNOSTICS INC.
Entity type:Organization
Organization Name:LABPRO DIAGNOSTICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHOEDINGER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:573-462-0097
Mailing Address - Street 1:18437 MOUNT LANGLEY ST STE D
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6915
Mailing Address - Country:US
Mailing Address - Phone:800-604-1632
Mailing Address - Fax:949-421-6965
Practice Address - Street 1:18437 MOUNT LANGLEY ST STE D
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6915
Practice Address - Country:US
Practice Address - Phone:800-658-1036
Practice Address - Fax:949-421-6965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
291U00000X
CACLF00349897291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory