Genlab Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENLAB INC

Doing business as

Elab of Southern California

Practice address

1615 Sweetwater Rd
National City, CA 91950-7655

Phone

(725) 777-8066

NPI assigned

Mar 24, 2019

Last updated

Jun 11, 2019By 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

Alejandro Pabriaga

Title

Ceo

Phone

(702) 233-8601

Specialties & licenses 1

Addresses

Other names 1

• ELAB OF SOUTHERN CALIFORNIA Doing business as

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1811457922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S RAINBOW BLVD STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466213",
            "telephone_number": "702-233-8601",
            "fax_number": "702-233-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SWEETWATER RD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507655",
            "telephone_number": "725-777-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENLAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "PABRIAGA",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-233-8601"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELAB OF SOUTHERN CALIFORNIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in National City, CA
• Providers in National City, 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 11, 2019; 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.