Organization
ALLIANCE TOXICOLOGY HAWAII LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HANSEN (PRESIDENT)
(714) 496-6164
Entity
Organization
Contact information
Practice address
197 EMERALD BAY, LAGUNA BEACH, CA 92651-1254
(714) 496-6164
Mailing address
111 HEKILI ST, SUITE A-2302, KAILUA, HI 96734-2800
(714) 496-6164
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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