Mad Science Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2080393 Issued in CA

Legal business name

MAD SCIENCE LABORATORIES, LLC

Doing business as

Rehab Lab

Practice address

10401 Venice Blvd
270
Los Angeles, CA 90034-6491

Phone

(310) 625-1309

Fax

(310) 287-1949

NPI assigned

Jul 28, 2014

Last updated

Jun 26, 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

Michael Welch

Title

Ceo

Phone

(310) 625-1309

Specialties & licenses 1

Addresses

Other names 1

• Rehab Lab Doing business as

Locations

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1801204482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 GLENCOE AVE STE A130",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925887",
            "telephone_number": "310-625-1309",
            "fax_number": "310-287-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 VENICE BLVD",
            "address_2": "270",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346491",
            "telephone_number": "310-625-1309",
            "fax_number": "310-287-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAD SCIENCE LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-625-1309"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2080393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brynne A Macphail, PSY.D.
• Bruce Lovejoy Macrum, M.D.
• Gregory Mactavish
• Jonathan Isaac Macy, MD
• Stephanie Seal Maczka, LCSW
• Anirudh Gopal Madabhushi, MD
• Valentin Madadian, LMFT
• Samantha Santhi Madala, MD
• Elena Madan, MD
• Monica Madan, DDS, MS

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 26, 2025; 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.