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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