Organization
LLS ACTUAL DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA FREEDMAN (OWNER PRESIDENT)
(626) 798-2041
Entity
Organization
Contact information
Practice address
1546 E WASHINGTON BLVD, SUITE A, PASADENA, CA 91104-2657
(626) 798-2041
(626) 798-2046
Mailing address
1546 E WASHINGTON BLVD, SUITE A, PASADENA, CA 91104-2657
(626) 798-2041
(626) 798-2046
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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