Provider Demographics
NPI:1922831643
Name:CALIBER DIAGNOSTIC LABORATORY INC
Entity type:Organization
Organization Name:CALIBER DIAGNOSTIC LABORATORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:STAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-503-1441
Mailing Address - Street 1:19195 OUTER HWY 18 STE 106
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2562
Mailing Address - Country:US
Mailing Address - Phone:760-503-1441
Mailing Address - Fax:
Practice Address - Street 1:19195 OUTER HWY 18 STE 106
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2562
Practice Address - Country:US
Practice Address - Phone:760-503-1441
Practice Address - Fax:760-503-1027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory