Organization
MD TOX LABORATORY
Active
Other names
Innovative Health Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WHITE JR. (CEO)
(949) 491-8080
Entity
Organization
Contact information
Practice address
1565 MCGAW AVE STE B, IRVINE, CA 92614-5670
(949) 491-8080
Mailing address
1565 MCGAW AVE STE B, IRVINE, CA 92614-5670
(949) 491-8080
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
05D2040304
CA
Other
Enumeration date
05/14/2012
Last updated
06/25/2021
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