Healthcare Provider Details

I. General information

NPI: 1801738364
Provider Name (Legal Business Name): CORDELL LABS LLC DBA SPECIALTY LABORATORIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 CORDELL CT STE 200
EL CAJON CA
92020-0911
US

IV. Provider business mailing address

1935 CORDELL CT STE 200
EL CAJON CA
92020-0911
US

V. Phone/Fax

Practice location:
  • Phone: 619-708-3999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: DAVID BARKA
Title or Position: OWNER
Credential:
Phone: 619-708-3999