MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
NPI 1063477461
Pathology - Anatomic Pathology & Clinical Pathology in Wildomar, CA

Q: What is Medical Laboratory Services Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since April 19, 2006

36485 INLAND VALLEY DR, WILDOMAR, CA 92595(760) 731-3334 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Medical Laboratory Services Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC. (NPI 1063477461) is a healthcare organization registered as an anatomic pathology & clinical pathology in Wildomar, California and active in the NPI registry since April 2006. The organization lists Ernest N Holburt, President, as its authorized official.

NPPES Registry Identity

NPI1063477461

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameMEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.

Location Address36485 INLAND VALLEY DRWildomar, CA 92595-9681

Mailing AddressPo Box 10076Van Nuys, CA 91410-0076 · (805) 578-8300 · Fax (805) 578-8950

Phone(760) 731-3334

Organization SubpartNo

Authorized OfficialErnest N HolburtPresident · (760) 731-3334

Enumeration DateApril 19, 2006

Last NPPES UpdateAugust 20, 2009

✔ NPI 1063477461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X

36485 INLAND VALLEY DR, Wildomar, CA 92595

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Other Identifiers 2

MedicaidGR0092911CA

Medicare PINZZZ07698ZCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INLAND VALLEY ANESTHESIA PARTNERS, INC

Anesthesiology