Organization
AMERICAN MEDICAL DIAGNOSTIC LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHIM KARJOO MD (OWNER)
(714) 636-0261
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD #111, GARDEN GROVE, CA 92843
(714) 636-0261
(714) 636-0263
Mailing address
12665 GARDEN GROVE BLVD #111, GARDEN GROVE, CA 92843
(714) 636-0261
(714) 636-0263
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF10400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB73763F
—
CA
Enumeration date
09/20/2012
Last updated
09/20/2012
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