Healthcare Provider Details
I. General information
NPI: 1114835428
Provider Name (Legal Business Name): BIOPRECISION LABORATORY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9795 CABRINI DR STE 107
BURBANK CA
91504-1739
US
IV. Provider business mailing address
9795 CABRINI DR STE 107
BURBANK CA
91504-1739
US
V. Phone/Fax
- Phone: 747-297-0009
- Fax: 747-297-0010
- Phone: 747-297-0009
- Fax: 747-297-0010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARIA
SVATUNOVA
Title or Position: CEO
Credential:
Phone: 323-616-7751