Organization
CASITAS DIAGNOSTICS INC
Active
Organization
CASITAS DIAGNOSTICS INC
Active
Other names
beaver dam reference laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA PIERCE M.D. (PRESIDENT)
(888) 754-0451
Entity
Organization
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(888) 754-0451
Mailing address
11490 BURBANK BLVD, STE 1D, NORTH HOLLYWOOD, CA 91601-2389
(888) 754-0451
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
53D0662012
WI
Other
Enumeration date
07/20/2010
Last updated
07/21/2010
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