Provider Demographics
NPI:1053800342
Name:HIGH PRECISION LABORATORY, INC
Entity type:Organization
Organization Name:HIGH PRECISION LABORATORY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:EFREM
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-231-8246
Mailing Address - Street 1:601 S MILLIKEN AVE STE E
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-8103
Mailing Address - Country:US
Mailing Address - Phone:909-390-7151
Mailing Address - Fax:
Practice Address - Street 1:601 S MILLIKEN AVE STE E
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-8103
Practice Address - Country:US
Practice Address - Phone:909-390-7151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACLF346738291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory