Organization
LIFELINE CLINICAL LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARARAT BARSEGIAN (OWNER/CEO)
(818) 273-4020
Entity
Organization
Contact information
Practice address
7445 FOOTHILL BLVD, TUJUNGA, CA 91042-2721
(818) 273-4020
(818) 273-4954
Mailing address
7445 FOOTHILL BLVD, TUJUNGA, CA 91042-2721
(818) 273-4020
(818) 273-4954
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2303208
CLIA
CA
Enumeration date
05/02/2024
Last updated
05/02/2024
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