Organization
EVOLVE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANETTE BUMGARDNER (CEO)
(310) 594-6540
Entity
Organization
Contact information
Practice address
650 N ROSE DR, SUITE 716, PLACENTIA, CA 92870-7513
(310) 594-6540
Mailing address
650 N ROSE DR, SUITE 716, PLACENTIA, CA 92870-7513
(310) 594-6540
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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