Organization
EXPRESS LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT A MARTINEZ (PRESIDENT)
(818) 566-4115
Entity
Organization
Contact information
Practice address
2119 N GLENOAKS BLVD, BURBANK, CA 91504-2828
(818) 566-4115
(818) 566-4215
Mailing address
2119 N GLENOAKS BLVD, BURBANK, CA 91504-2828
(818) 566-4115
(818) 566-4215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44410
CA
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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