Organization
PRIVILEGE DX MEDICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONICK BAGDASSARIAN OWNER (PRESIDENT)
(747) 203-1614
Entity
Organization
Contact information
Practice address
10133 RIVERSIDE DR, TOLUCA LAKE, CA 91602-2533
(747) 203-1614
(747) 205-2042
Mailing address
10133 RIVERSIDE DR, TOLUCA LAKE, CA 91602-2533
(747) 203-1614
(747) 205-2042
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3889342
CA
Other
Enumeration date
07/27/2016
Last updated
07/24/2019
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