911 Labs Inc
Organization Active NPI Clinical Medical Laboratory · Santa Monica, CA
NPI 1285360693 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1285360693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- 911 LABS INC
- Practice address
- 701 Santa Monica Blvd Ste 310
Santa Monica, CA 90401-2624 - Phone
- (888) 878-9111
- NPI assigned
- Jul 27, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Steve Farzam, JD, MICP
- Title
- Coo
- Phone
- (310) 569-5784
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230417000632 | CA | Part B Supplier - Independent Clinical Laboratory | 7810362233 | Practice locations: Santa Monica, CA |
National Provider Directory
Locations
701 Santa Monica Blvd
Santa Monica, CA 90401
Phone (424) 259-1701
701 Santa Monica Blvd
Ste 310
Santa Monica, CA 90401
Phone (310) 844-0111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
701 Santa Monica Blvd Ste 310
Santa Monica, CA 90401-2624
Mailing address
701 Santa Monica Blvd Ste 310
Santa Monica, CA 90401-2624
Phone (310) 569-5784
Other names
- 911 LABS
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.