Provider Demographics
NPI:1831915776
Name:UNIVERSAL LABS INC
Entity type:Organization
Organization Name:UNIVERSAL LABS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIXNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-821-3500
Mailing Address - Street 1:5953 LAUREL CANYON BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1237
Mailing Address - Country:US
Mailing Address - Phone:818-821-3500
Mailing Address - Fax:
Practice Address - Street 1:5953 LAUREL CANYON BLVD STE C
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-1237
Practice Address - Country:US
Practice Address - Phone:818-821-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory