NPI 1023765385
Epicwave Laboratory LLC
Practice location
- Address
- 16114 Sherman Way, Van Nuys, CA 91406-3907
- Phone
- (800) 961-6747
Authorised official
- Name
- Marc Benedict Enriquez Bernaldez
- Title
- Owner
- Phone
- (800) 961-6747
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1023765385
- Entity type
- Organization
- NPI issued
- 7 Mar 2022
- Record last updated
- 9 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.