Healthcare Provider Details
I. General information
NPI: 1346912466
Provider Name (Legal Business Name): US HEALTH LABORATORIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15260 VENTURA BLVD STE 1200
SHERMAN OAKS CA
91403-5347
US
IV. Provider business mailing address
15260 VENTURA BLVD STE 1200
SHERMAN OAKS CA
91403-5347
US
V. Phone/Fax
- Phone: 805-357-5577
- Fax:
- Phone: 805-625-9245
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QG0250X |
| Taxonomy | Genetics Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
BAERWALD
Title or Position: DIRECTOR
Credential:
Phone: 310-922-9135