Organization
BIOHEALTH DIAGNOSTIC LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T ALCANTAR CLB (LABORATORY DIRECTOR)
(310) 828-1506
Entity
Organization
Contact information
Practice address
2216 SANTA MONICA BLVD, SUITE 102, SANTA MONICA, CA 90404-2309
(310) 828-1506
(310) 828-0757
Mailing address
2216 SANTA MONICA BLVD, SUITE 102, SANTA MONICA, CA 90404-2309
(310) 828-1506
(310) 828-0757
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D0982456
CA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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