Medical Laboratory Services Medical Group, Inc.
NPI 1063477461 · Anatomic Pathology & Clinical Pathology Physician · Wildomar, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medical Laboratory Services Medical Group, Inc. is a Anatomic Pathology & Clinical Pathology Physician organization in Wildomar, CA (NPI 1063477461).
Provider details
- NPI number
- 1063477461
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ernest Holburt, President(760) 731-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cytopathology Physician207ZC0500X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2009-08-20
Frequently asked questions
- What is Medical Laboratory Services Medical Group, Inc.'s NPI number?
- Medical Laboratory Services Medical Group, Inc.'s National Provider Identifier (NPI) is 1063477461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical Laboratory Services Medical Group, Inc.?
- Medical Laboratory Services Medical Group, Inc. is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Medical Laboratory Services Medical Group, Inc. located?
- Medical Laboratory Services Medical Group, Inc.'s practice location on file with NPPES is 36485 Inland Valley Dr, Wildomar, CA 92595-9681.
- What is Medical Laboratory Services Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Medical Laboratory Services Medical Group, Inc. is (760) 731-3334.
- Does Medical Laboratory Services Medical Group, Inc. accept Medicare?
- Medical Laboratory Services Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Medical Laboratory Services Medical Group, Inc.?
- The authorized official listed on Medical Laboratory Services Medical Group, Inc.'s NPPES record is Ernest Holburt, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical Laboratory Services Medical Group, Inc.'s NPI active?
- Yes — Medical Laboratory Services Medical Group, Inc.'s NPI (1063477461) is active in the NPPES registry as of the last update on 2009-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.