Organization
EXPER-TECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG STUART NIELSON RVT (CEO, SONOGRAPHER)
(805) 705-5003
Entity
Organization
Contact information
Practice address
1437 ARMACOST AVE, LOS ANGELES, CA 90025-2207
(805) 705-5003
Mailing address
913 LINDENCLIFF ST, TORRANCE, CA 90502-2710
(805) 705-5003
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
154435
CA
Other
Enumeration date
11/17/2014
Last updated
03/19/2015
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