Provider Demographics
NPI:1508487430
Name:MORNINGSTAR LABORATORIES LLC
Entity Type:Organization
Organization Name:MORNINGSTAR LABORATORIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-547-3140
Mailing Address - Street 1:5151 CALIFORNIA AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92617-3206
Mailing Address - Country:US
Mailing Address - Phone:949-547-3140
Mailing Address - Fax:949-315-3710
Practice Address - Street 1:5151 CALIFORNIA AVE STE 150
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92617-3206
Practice Address - Country:US
Practice Address - Phone:949-547-3140
Practice Address - Fax:949-315-3710
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMART HEALTH DIAGNOSTICS COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-01
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory