Epicwave Laboratory

LBN: Epicwave Laboratory Llc
Epicwave Laboratory is an health care organization with primary practice located at 16114 Sherman Way , Van Nuys CA 91406-3907. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Epicwave Laboratory Llc can be contacted via phone (800) 961-6747, or through Bernaldez, Marc Benedict Enriquez via phone (800) 961-6747.

Contact Information

Primary practice address
16114 Sherman Way Van Nuys CA 91406-3907
Phone: (800) 961-6747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bernaldez, Marc Benedict Enriquez MLS(ASCP)CM
Phone: (800) 961-6747

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1023765385
LBN Legal business name Epicwave Laboratory Llc
DBA Doing business as Epicwave Laboratory
Authorized official Bernaldez, Marc Benedict Enriquez MLS(ASCP)CM
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2022
Last updated Feb 8th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023765385 NPPES
Other 05D2262840 CLIA
Other CLR-90006743 CLIA

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