Organization
MD TOX LABORATORY
Active
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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