Organization
CLINTOX LABORATORIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN EBRA (CEO)
(888) 321-2869
Entity
Organization
Contact information
Practice address
516 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(888) 321-2869
Mailing address
516 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(888) 321-2869
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2106322
CA
Other
Enumeration date
02/19/2016
Last updated
10/13/2016
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