Organization
MEDICAL CLINIC FOR NONINVASIVE VASCULAR STUDIES OF SOLANO COUNTY
Active
Organization
MEDICAL CLINIC FOR NONINVASIVE VASCULAR STUDIES OF SOLANO COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER VINCENT LEONI M.D. (PHYSICIAN)
(707) 644-1067
Entity
Organization
Contact information
Practice address
1040 COLUSA ST, VALLEJO, CA 94590-4565
(707) 644-1067
(707) 644-5810
Mailing address
1040 COLUSA ST, VALLEJO, CA 94590-4565
(707) 644-1067
(707) 644-5810
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
ZZZ17818Z
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086700
—
CA
01
—
ZZZ17818Z
LAB PIN #
CA
Enumeration date
03/22/2006
Last updated
08/22/2020
Update your record
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