Organization
FORTRESS DIAGNOSTICS TESTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHIR KUMAR BEZWA REDDY M.D. (PRESIDENT)
(909) 946-4566
Entity
Organization
Contact information
Practice address
1801 EXCISE AVENUE, 108, ONTARIO, CA 91761-8555
(909) 285-2278
(909) 296-7978
Mailing address
1801 EXCISE AVENUE, 108, ONTARIO, CA 91761-8555
(909) 285-2278
(909) 296-7978
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
BL00086632
CA
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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