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Medical Laboratory Services Medical Group, Inc.

Anatomic Pathology & Clinical Pathology Physician in Wildomar, CA · enumerated 2006 · authorized official Ernest Holburt, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063477461

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Laboratory Services Medical Group, Inc.
Practice address 36485 Inland Valley Dr, Wildomar, CA, 92595
Phone (760) 731-3334
Enumeration date Apr 19, 2006
Last updated in NPPES Aug 20, 2009

Taxonomy & classification

207ZC0500X Cytopathology Physician Allopathic & Osteopathic Physicians Secondary
207ZP0102X Anatomic Pathology & Clinical Pathology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ernest Holburt
Title President
Phone (760) 731-3334

Other identifiers

Identifier Type State Issuer
GR0092911 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-08-20. Verify at npiregistry.cms.hhs.gov.
Where is Medical Laboratory Services Medical Group, Inc. located?
The practice location on file with NPPES is in Wildomar, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-20.