Organization
I2B LAB LLC
Active
Organization
I2B LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GOWRIHARAN THAIYANANTHAN MD (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
6100 CENTER DR STE 600, LOS ANGELES, CA 90045-9202
(949) 588-2190
(949) 588-2199
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
A99924
CA
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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