Organization Active NPI

Second Bio Lab Clinical Laboratory

  • Clinical Medical Laboratory
  • San Gabriel, CA
National Provider Identifier
1194478867
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SECOND BIO LAB CLINICAL LABORATORY
Practice address
316 E Las Tunas Dr Ste 206
San Gabriel, CA 91776-1535
Phone
(626) 300-8880
Fax
(626) 300-8811
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Gabriela Orue-Perea
Title
Owner
Phone
(818) 484-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

316 E Las Tunas Dr Ste 206
San Gabriel, CA 91776-1535

Mailing address

316 E Las Tunas Dr Ste 206
San Gabriel, CA 91776-1535
Phone (626) 300-8880

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2235749Second Bio Lab, LLC316 E Las Tunas Dr, Ste 206, San Gabriel, CA 91776ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

316 E Las Tunas Dr
Ste 206
San Gabriel, CA 91776
Phone (323) 220-3976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1194478867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR STE 206",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-300-8880",
            "fax_number": "626-300-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E LAS TUNAS DR STE 206",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761535",
            "telephone_number": "626-300-8880",
            "fax_number": "626-300-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND BIO LAB CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "ORUE-PEREA",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-484-1315"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.