Healthcare Provider Details

I. General information

NPI: 1598580433
Provider Name (Legal Business Name): LAB2GO SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2024
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3861 S BRISTOL ST # 1051
SANTA ANA CA
92704-7426
US

IV. Provider business mailing address

3861 S BRISTOL ST # 1051
SANTA ANA CA
92704-7426
US

V. Phone/Fax

Practice location:
  • Phone: 888-735-0602
  • Fax:
Mailing address:
  • Phone: 888-735-0602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: NELSON PRIETO
Title or Position: CHIEF OPERATING OFFICER
Credential: PHLEBOTOMIST
Phone: 888-735-0602