Labpro Diagnostics Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00349897 Issued in CA

Legal business name

LABPRO DIAGNOSTICS INC.

Practice address

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

Phone

(800) 658-1036

Fax

(949) 421-6965

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. George R. Schoedinger III, MDNPI 1992755383

Title

President

Phone

(573) 462-0097

Specialties & licenses 2

Addresses

Tax ID family

Labpro Diagnostics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Labpro Diagnostics Inc.

  • Clinical Medical Laboratory
  • Fountain Valley, CA
  • NPI 1053878470
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Labpro Diagnostics Inc.

  • Clinical Medical Laboratory
  • Fountain Valley, CA
  • NPI 1053878470
  NPPES parent name

Practitioners 1

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

• George R Schoedinger III, M.D.

  • General Practice Physician
  • Saint Charles, MO
  • NPI 1992755383
  NPD Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1265973887",
    "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": "800-604-1632",
            "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": [
        {
            "address_1": "264 Industry Way",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864569",
            "country_code": "US",
            "telephone_number": "909-766-1861",
            "fax_number": "909-766-1866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LABPRO DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "SCHOEDINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-462-0097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00349897",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.