MEDICARE: LAB GENOMICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1134889470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAB GENOMICS, LLC

Provider Business Mailing Address
First Line	:	11160 WARNER AVE STE 415
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-4056
Country	:	US
Telephone Number	:	714-438-1009
Fax Number	:	714-438-2484

Provider Business Practice Location Address
First Line	:	10299 GRAND RIVER RD STE K
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48116-2204
Country	:	US
Telephone Number	:	714-438-1009
Fax Number	:	714-438-2484

Authorized Official
Title or Position	:	OWNER
Name	:	LEENA K DALAL
Credential	:
Telephone Number	:	714-438-1009

Provider Enumeration Date	:	12/28/2021
Last Update Date	:	12/28/2021

Similar Medicare Providers

1700872991 — DR. MORRIS M BOOK M.D.
Practice Location Address:

1520 3RD AVE
NEW BRIGHTON, PA
15066-2204

Practice Phone: 724-843-3800
Practice Fax: 714-843-4799

1851543607 — TRI-STATE MEDICAL GROUP, INC
Practice Location Address:

1520 3RD AVE
NEW BRIGHTON, PA
15066-2204

Practice Phone: 724-843-3800
Practice Fax:

1326376146 — MARIANNA F GALL PA-C
Practice Location Address:

1520 3RD AVE
NEW BRIGHTON, PA
15066-2204

Practice Phone: 724-843-3800
Practice Fax: 724-843-4799

1326786872 — CARING WITH COMPASSION
Practice Location Address:

1405 SILVER LAKE RD NW STE 15
NEW BRIGHTON, MN
55112-2204

Practice Phone: 612-865-6285
Practice Fax:

1144046566 — MIN JEONG KATHERINE KIM D.D.S., INC
Practice Location Address:

1077 BRIGHTON PL
MOUNTAIN VIEW, CA
94040-2204

Practice Phone: 617-331-5360
Practice Fax:

1295682920 — SHATEA HILL
Practice Location Address:

10327 GRAND RIVER RD STE 401
BRIGHTON, MI
48116-6501

Practice Phone: 800-787-5118
Practice Fax:

Directions to “LAB GENOMICS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.