Organization
WEST COAST MEDICAL LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL G MOHAMMED (OWNER)
(872) 325-6375
Entity
Organization
Contact information
Practice address
520 E CENTER ST STE 103, MANTECA, CA 95336-4720
(872) 325-6375
Mailing address
520 E CENTER ST STE 103, MANTECA, CA 95336-4720
(872) 325-6375
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
246RM2200X
Medical Laboratory Technician
—
—
261Q00000X
Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/02/2024
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