Organization
CALIFORNIA INDUSTRIAL LABORATIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WALK (COO)
(818) 855-2626
Entity
Organization
Contact information
Practice address
16530 VENTURA BLVD STE 411, ENCINO, CA 91436-5061
(818) 855-2626
(818) 855-2627
Mailing address
PO BOX 261714, ENCINO, CA 91426-1714
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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