Healthcare Provider Details

I. General information

NPI: 1205742160
Provider Name (Legal Business Name): ALPHA LAB SERVICES
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

50 W SYRACUSE AVE
TURLOCK CA
95380-3143
US

IV. Provider business mailing address

50 W SYRACUSE AVE
TURLOCK CA
95380-3143
US

V. Phone/Fax

Practice location:
  • Phone: 888-650-9912
  • Fax:
Mailing address:
  • Phone: 888-650-9912
  • 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: RONALD JOHN
Title or Position: MANAGER
Credential:
Phone: 888-650-8876