Provider Demographics
NPI:1831780063
Name:LAB ONE, INC
Entity type:Organization
Organization Name:LAB ONE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATULINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-498-0028
Mailing Address - Street 1:1617 N EL CENTRO AVE SUITE 16
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028
Mailing Address - Country:US
Mailing Address - Phone:323-498-0028
Mailing Address - Fax:
Practice Address - Street 1:1617 N EL CENTRO AVE SUITE 16
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028
Practice Address - Country:US
Practice Address - Phone:323-498-0028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-31
Last Update Date:2021-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier