Organization Active NPI

United Lab Services Inc.

Doing business as ULS AllCare Health Services

  • Clinic/Center
  • Corona, CA
National Provider Identifier
1528564002
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNITED LAB SERVICES INC.
Doing business as
ULS AllCare Health Services
Practice address
3811 Bedford Canyon Rd.
Suite 104
Corona, CA 92883-4465
Phone
(951) 444-0467
Fax
(951) 582-4758
NPI assigned
Apr 3, 2018
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED LAB SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Anabelle Myers
Title
Ceo
Phone
(951) 444-0467

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

3811 Bedford Canyon Rd.
Suite 104
Corona, CA 92883-4465

Mailing address

3811 Bedford Canyon Rd.
Suite 104
Corona, CA 92883-4465
Phone (951) 444-0467

Other names 1

  • ULS AllCare Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210302000549 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7214343185 Practice locations: Corona, CA

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
05D2100064United Lab Services Inc3811 Bedford Canyon Rd, Ste 104, Corona, CA 92883Certificate of waiverNov 29, 2026

National Provider Directory

National Provider Directory
Part of
United Lab Services Inc

Locations

3811 Bedford Canyon Rd
Ste 104
Corona, CA 92883
Phone (951) 444-0467

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1528564002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 BEDFORD CANYON RD.",
            "address_2": "SUITE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834465",
            "telephone_number": "951-444-0467",
            "fax_number": "951-582-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 BEDFORD CANYON RD.",
            "address_2": "SUITE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834465",
            "telephone_number": "951-444-0467",
            "fax_number": "951-582-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED LAB SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED LAB SERVICES INC.",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ANABELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-444-0467"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULS AllCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.