Organization
INTEGRATED PATHOLOGY MEDICAL LABORATORY, INC.
Active
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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