Organization
IMAGE ORTHOPEDIC LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP A KOHLER (PRESIDENT)
(877) 967-8469
Entity
Organization
Contact information
Practice address
1701 E EDINGER AVE STE E11, SANTA ANA, CA 92705-5037
(877) 967-8469
Mailing address
1701 E EDINGER AVE STE E11, SANTA ANA, CA 92705-5037
(877) 967-8469
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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