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Organization
LIFESCAN DIAGNOSTIC CORP
Active
Organization
LIFESCAN DIAGNOSTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETROS PATATANIAN (CEO)
(213) 298-9645
Entity
Organization
Contact information
Practice address
3628 LYNOAK DR, SUITE 105, CLAREMONT, CA 91711-3243
(213) 298-9645
Mailing address
2863 95TH ST STE 143-159, NAPERVILLE, IL 60564-9005
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
06/15/2023
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