Provider Demographics
NPI:1700220530
Name:LABORATORY ASSOCIATES BUSINESS SERVICE, INC.
Entity Type:Organization
Organization Name:LABORATORY ASSOCIATES BUSINESS SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MATHIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-899-5985
Mailing Address - Street 1:7291 GARDEN GROVE BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-4211
Mailing Address - Country:US
Mailing Address - Phone:714-899-5985
Mailing Address - Fax:714-899-7447
Practice Address - Street 1:7291 GARDEN GROVE BLVD STE H
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-4211
Practice Address - Country:US
Practice Address - Phone:714-899-5985
Practice Address - Fax:714-899-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory