Organization
AMERICAN TOXICOLOGY MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PORTER (SUPERVISOR)
(805) 416-1648
Entity
Organization
Contact information
Practice address
1464 MADERA RD # N-137, SIMI VALLEY, CA 93065-3077
(805) 416-1648
Mailing address
1464 MADERA RD # N-137, SIMI VALLEY, CA 93065-3077
(805) 416-1648
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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