Organization
FERTILITY LAB SCIENCES OF ORANGE COUNTY, LLC
Active
Organization
FERTILITY LAB SCIENCES OF ORANGE COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT TYSON (DIRECTOR, MANAGED CARE CONTRACTING)
(615) 477-6677
Entity
Organization
Contact information
Practice address
3501 JAMBOREE RD STE 450, NEWPORT BEACH, CA 92660-2916
(949) 531-6331
Mailing address
3501 JAMBOREE RD STE 1100, NEWPORT BEACH, CA 92660-2956
(949) 222-1290
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2089497
CLIA
—
Enumeration date
11/19/2020
Last updated
07/13/2026
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