NPIMap

Organization Active NPI

Labpro Diagnostics Inc.

Doing business as LabPro Diagnostics

  • Clinical Medical Laboratory
  • Fountain Valley, CA
National Provider Identifier
1053878470
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABPRO DIAGNOSTICS INC.
Doing business as
LabPro Diagnostics
Practice address
18437 Mount Langley St Ste D
Fountain Valley, CA 92708-6915
Phone
(800) 658-1036
Fax
(949) 421-6965
NPI assigned
Feb 21, 2019
Organization subpart
Yes
Parent organization
LABPRO DIAGNOSTICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
George R Schoedinger III, MDNPI 1992755383
Title
Ceo
Phone
(573) 462-0097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

18437 Mount Langley St Ste D
Fountain Valley, CA 92708-6915

Mailing address

18437 Mount Langley St Ste D
Fountain Valley, CA 92708-6915
Phone (800) 658-1036

Other names 1

  • LabPro Diagnostics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Labpro Diagnostics Inc2 organizations share this tax ID, including this one
Part of
Labpro Diagnostics Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18437 Mount Langley St
Ste D
Fountain Valley, CA 92708
Phone (800) 658-1036

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1053878470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18437 MOUNT LANGLEY ST STE D",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086915",
            "telephone_number": "800-658-1036",
            "fax_number": "949-421-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18437 MOUNT LANGLEY ST STE D",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086915",
            "telephone_number": "800-658-1036",
            "fax_number": "949-421-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABPRO DIAGNOSTICS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABPRO DIAGNOSTICS, INC",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "SCHOEDINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-462-0097",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LabPro Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LabPro Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.