Ub Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF346019 Issued in CA

Legal business name

UB LABORATORIES, INC.

Doing business as

Health 360 Labs

Practice address

25901 Commercentre Dr Ste 300
Lake Forest, CA 92630-8805

Phone

(877) 509-0376

NPI assigned

Jul 17, 2014

Last updated

Feb 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ozman Mohiuddin

Title

Owner

Phone

(866) 428-1771

Specialties & licenses 1

Addresses

Other names 1

• HEALTH 360 LABS Doing business as

Locations

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1285041558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25901 COMMERCENTRE DR STE 300",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308805",
            "telephone_number": "877-509-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25901 COMMERCENTRE DR STE 300",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308805",
            "telephone_number": "877-509-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UB LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "OZMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-428-1771"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF346019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH 360 LABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Lake Forest, CA
• Providers in Lake Forest, 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 Feb 19, 2020; 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.