Medical Laboratory Services Medical Group, Inc.

LBN: Medical Laboratory Services Medical Group, Inc.
Medical Laboratory Services Medical Group, Inc. is an health care organization with primary practice located at 36485 Inland Valley Dr , Wildomar CA 92595-9681. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Medical Laboratory Services Medical Group, Inc. can be contacted via phone (760) 731-3334, or through Holburt, Ernest N via phone (760) 731-3334.

Contact Information

Primary practice address
36485 Inland Valley Dr Wildomar CA 92595-9681
Fax:
Website:
Authorized official contact:
Name: Holburt, Ernest N Doctor of Medicine (MD)

Profile Details

NPI number 1063477461
LBN Legal business name Medical Laboratory Services Medical Group, Inc.
DBA Doing business as
Authorized official Holburt, Ernest N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 20th, 2009 - about 16 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063477461 NPPES
California MEDICAID GR0092911

Popular Providers