Organization
MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
Active
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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