Organization
LUIS M RODRIGUEZ
Active
Organization
LUIS M RODRIGUEZ
Active
Other names
aws lab
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS M RODRIGUEZ (OWNER)
(951) 454-7314
Entity
Organization
Contact information
Practice address
420 N MCKINLEY ST, SUIE 111-356, CORONA, CA 92879-8099
(951) 454-7314
Mailing address
420 N MCKINLEY ST, SUIE 111-356, CORONA, CA 92879-8099
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1090908
CA
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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