MEDICARE: LABS-ALL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164460721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABS-ALL, INC

Provider Business Mailing Address
First Line	:	PO BOX 2102
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90213-2102
Country	:	US
Telephone Number	:	213-637-2530
Fax Number	:	213-384-3373

Provider Business Practice Location Address
First Line	:	2200 W 7TH ST
Second Line	:	SUITE 305
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-4002
Country	:	US
Telephone Number	:	213-384-5073
Fax Number	:	213-384-5341

Authorized Official
Title or Position	:	BUSINESS ACCOUNTS MANAGER
Name	:	MR. JUAN CARLOS GARCIA
Credential	:
Telephone Number	:	213-637-2530

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	04/14/2009

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Directions to “LABS-ALL, INC ” Practice Location

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