Organization
INTER SCIENCE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAN V HEARD M.D. (LABORATORY DIRECTOR)
(310) 677-3322
Entity
Organization
Contact information
Practice address
944 W HYDE PARK BLVD, INGLEWOOD, CA 90302-3308
(310) 677-3322
(310) 677-2846
Mailing address
944 W HYDE PARK BLVD, INGLEWOOD, CA 90302-3308
(310) 677-3322
(310) 677-2846
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 1801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ49545Z
—
CA
Enumeration date
08/01/2005
Last updated
11/04/2014
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