Organization
INTEGRATED PATHOLOGY MEDICAL LABORATORY, INC.
Active
Other names
Lotus Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHATFIELD HISERODT M.D. (MEDICAL DIRECTOR)
(714) 743-5253
Entity
Organization
Contact information
Practice address
10842 NOEL ST, SUITE# 110, LOS ALAMITOS, CA 90720-2555
(714) 743-5253
Mailing address
10842 NOEL ST, SUITE# 110, LOS ALAMITOS, CA 90720-2555
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/08/2013
Last updated
10/21/2014
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