Healthcare Provider Details

I. General information

NPI: 1972419844
Provider Name (Legal Business Name): SC HEALTH LABS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15540 ROCKFIELD BLVD STE A100
IRVINE CA
92618-2738
US

IV. Provider business mailing address

15540 ROCKFIELD BLVD STE A100
IRVINE CA
92618-2738
US

V. Phone/Fax

Practice location:
  • Phone: 888-667-5199
  • Fax:
Mailing address:
  • Phone: 888-667-5199
  • 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: AUSTIN PENNY
Title or Position: MANAGER
Credential:
Phone: 888-778-9553