Provider Demographics
NPI:1730570987
Name:US LAB, INC
Entity type:Organization
Organization Name:US LAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:UMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-777-3334
Mailing Address - Street 1:3194 AIRPORT LOOP DR STE A
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3405
Mailing Address - Country:US
Mailing Address - Phone:888-787-8210
Mailing Address - Fax:714-399-3674
Practice Address - Street 1:3194 AIRPORT LOOP DR
Practice Address - Street 2:STE. A
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3405
Practice Address - Country:US
Practice Address - Phone:888-787-8210
Practice Address - Fax:714-399-3674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADRH65291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory