Provider Demographics
NPI:1316622780
Name:SUNSCIENCE LABS INC
Entity type:Organization
Organization Name:SUNSCIENCE LABS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADHITYA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SUMARDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-528-9448
Mailing Address - Street 1:11225 N 28TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5606
Mailing Address - Country:US
Mailing Address - Phone:657-200-8350
Mailing Address - Fax:
Practice Address - Street 1:1145 W FAIRMONT DR STE A
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1191
Practice Address - Country:US
Practice Address - Phone:909-528-9448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory