Organization
SOCAL DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID ROWLAND (CHIEF OPERATING OFFICER)
(323) 810-0475
Entity
Organization
Contact information
Practice address
3865 JASMINE AVE, CULVER CITY, CA 90232-3105
(323) 810-0475
Mailing address
322 CULVER BLVD UNIT 16, PLAYA DEL REY, CA 90293-7704
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLF-90005409
CDPH
CA
Enumeration date
10/28/2022
Last updated
10/28/2022
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