Biological Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF11375 Issued in CA

Legal business name

BIOLOGICAL LABORATORY, INC.

Doing business as

Biolab

Practice address

620 W. Covina Blvd
San Dimas, CA 91773-2956

Phone

(909) 718-4592

Fax

(909) 469-6718

NPI assigned

Feb 27, 2007

Last updated

Mar 14, 2025By 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

Eufemia David, BSMT

Title

Ceo

Phone

(909) 718-4592

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Biolab Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Biological Laboratory 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.

• Biological Laboratory Inc

  dba same as above

  • Clinical Medical Laboratory
  • Reseda, CA
  • NPI 1114971298
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arash Lalezary, M.D

  • Family Medicine Physician
  • Bell Gardens, CA
  • NPI 1679513238
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1700913118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W. COVINA BLVD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732956",
            "telephone_number": "909-718-4592",
            "fax_number": "909-469-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W. COVINA BLVD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732956",
            "telephone_number": "909-718-4592",
            "fax_number": "909-469-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOLOGICAL LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "EUFEMIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-718-4592",
        "authorized_official_credential": "BSMT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB30143G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "05D0930143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biolab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla M Bethel
• Faith Beverly, RAMFT
• Nitin Bhasin, M.D.
• Veena Kulchaiyawat Bhatarakamol, D.O.
• Michael Hien Bien, M.D.
• Melissa Burgundy Bird
• Hilary Bistline
• Robert D Black, LPC, CRC
• Alicia Monique Blanco
• Edith Blanquel-Rojas

• Clinical Medical Laboratory in San Dimas, CA
• Providers in San Dimas, 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 Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.