MEDICARE: LUMORA LABS 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	:	1578405528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUMORA LABS LLC

Provider Business Mailing Address
First Line	:	200 NEW STINE RD STE 248
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-2658
Country	:	US
Telephone Number	:	661-378-2346
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 NEW STINE RD STE 248
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-2658
Country	:	US
Telephone Number	:	661-378-2346
Fax Number	:

Authorized Official
Title or Position	:	OWNER/AUTHORIZED OFFICIAL
Name	:	SUNIL YELLA
Credential	:
Telephone Number	:	661-378-2346

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “LUMORA LABS LLC ” Practice Location

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