Organization
SOUTH COAST CLINICAL LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT D SUER (PRESIDENT)
(310) 387-8700
Entity
Organization
Contact information
Practice address
15326 CORNET ST, SANTA FE SPRINGS, CA 90670-5532
(310) 387-8700
Mailing address
5 MIDNIGHT LN, DANA POINT, CA 92629-5905
(310) 387-8700
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 10499
CA
Other
Enumeration date
07/02/2009
Last updated
08/12/2009
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