MEDSTAR LAB SERVICES LLC – NPI #1124981220
Specialist/Technologist, Pathology

MEDSTAR LAB SERVICES LLC is a technologist located in FOWLER, CA. NPPES has assigned the NPI number 1124981220 to MEDSTAR LAB SERVICES LLC on December 05, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 246QL0901X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Laboratory Management, Diplomate

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDSTAR LAB SERVICES LLC below.

NPI Profile for
MEDSTAR LAB SERVICES LLC

NPI Number
1124981220
Enumeration Date

(about 6 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDSTAR LAB SERVICES LLC
Primary location
97 BONITA AVE
FOWLER, CA 93625-2008
Phone: (651) 318-2025 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VALENTIN FLORES
PRESIDENT
Phone: (165) 131-8202
Updated
Certification Date
Dec 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246QL0901X
- Specialist/Technologist, Pathology / Laboratory Management, Diplomate (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.