Healthcare Provider Details

I. General information

NPI: 1871248096
Provider Name (Legal Business Name): OHRELLE LABORATORIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 WILSHIRE BLVD
BEVERLY HILLS CA
90211-2328
US

IV. Provider business mailing address

8200 WILSHIRE BLVD
BEVERLY HILLS CA
90211-2328
US

V. Phone/Fax

Practice location:
  • Phone: 310-998-8004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL FARAH
Title or Position: PRESIDENT
Credential:
Phone: 310-998-8004