Provider Demographics
NPI:1316622780
Name:SUNSCIENCE LAB INC
Entity type:Organization
Organization Name:SUNSCIENCE LAB INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADHITYA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SUMARDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-528-9448
Mailing Address - Street 1:570 NEVADA ST STE E
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-3139
Mailing Address - Country:US
Mailing Address - Phone:909-528-9448
Mailing Address - Fax:
Practice Address - Street 1:7890 S HARDY DR STE 104
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1123
Practice Address - Country:US
Practice Address - Phone:909-528-9448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory