Organization · Type 2 NPI
Professional Clinical Laboratory
Clinical Medical Laboratory · Los Angeles, CA
Practice location
432 S San Vicente Blvd # 200A, Suite 200
Los Angeles, CA 90048-4183
Fax (310) 360-0302
Mailing address
432 S San Vicente Blvd, Suite 200A
Los Angeles, CA 90048-4183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Medical Laboratory Primary | 291U00000X | 05D2048878 (CA) |
Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…
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About NPI 1881833036
Professional Clinical Laboratory's National Provider Identifier is 1881833036, issued on Feb 11, 2009. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 25, 2013.