Organization
PERSONALIZED PEDIATRIC LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MANALO (LABORATORY SUPERVISOR)
(619) 253-2923
Entity
Organization
Contact information
Practice address
1744 BERKELEY ST, SANTA MONICA, CA 90404-4105
(725) 240-0608
(888) 356-3518
Mailing address
1744 BERKELEY ST, SANTA MONICA, CA 90404-4105
(725) 240-0608
(888) 356-3518
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/18/2023
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