Organization
100 PLAZA CLINICAL LAB INC
Active
Other names
100 PLAZA CLINICAL LAB
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAHRAM PARSA M.D., PH.D. (DIRECTOR)
(310) 208-0099
Entity
Organization
Contact information
Practice address
100 UCLA MEDICAL PLZ, SUITE #245, LOS ANGELES, CA 90024-6970
(310) 208-0099
(310) 208-0963
Mailing address
100 UCLA MEDICAL PLZ, SUITE #245, LOS ANGELES, CA 90024-6970
(310) 208-0099
(310) 208-0963
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB58794F
—
CA
Enumeration date
08/30/2006
Last updated
03/27/2009
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