Organization
AW CYTOHISTOLOGY LAB
Active
Organization
AW CYTOHISTOLOGY LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES Y WU M.D. (PHYSICIAN)
(661) 325-2640
Entity
Organization
Contact information
Practice address
1700 C ST, BAKERSFIELD, CA 93301-3616
(661) 325-2640
(661) 327-0816
Mailing address
11108 ZENAIDA WAY, BAKERSFIELD, CA 93311-2928
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
A50093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A500931
—
CA
05
—
LAB16538F
—
CA
Enumeration date
04/24/2007
Last updated
09/04/2008
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