Organization
MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST HOLBURT MD (PRESIDENT)
(760) 731-3335
Entity
Organization
Contact information
Practice address
1667 S MISSION RD, STE E & F, FALLBROOK, CA 92028-4113
(760) 731-3335
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
08/04/2008
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