Organization
ALLIANCE TOXICOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM ANGELES HANSEN (PRESIDENT)
(714) 496-6164
Entity
Organization
Contact information
Practice address
540 N GOLDEN CIRCLE DR, SUITE #215, SANTA ANA, CA 92705-3914
(714) 496-6164
Mailing address
PO BOX 5000, PMB 190, RANCHO SANTA FE, CA 92067-5000
(714) 496-6164
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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