Organization
TIMM LABORATORY
Active
Other names
AMERICAN PREMIER LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID MORADI M.D. (PRESIDENT)
(818) 776-3600
Entity
Organization
Contact information
Practice address
6850 CANBY AVE, SUITE 105, RESEDA, CA 91335-4310
(818) 776-3600
(818) 654-0634
Mailing address
6850 CANBY AVE, SUITE 105, RESEDA, CA 91335-4310
(818) 776-3600
(818) 654-0634
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF328586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLF328586
CALIFORNIA DHS LICENSE
CA
Enumeration date
03/19/2008
Last updated
03/19/2008
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