Organization
21053 DEVNSHIRE 106
Active
Other names
Ultalab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YADIRA VALLES M.D., PH.D. (DIRECTOR OF RESEARCH)
(818) 274-1843
Entity
Organization
Contact information
Practice address
21053 DEVONSHIRE ST STE 106, CHATSWORTH, CA 91311-8247
(818) 274-1843
(818) 789-1061
Mailing address
21053 DEVONSHIRE ST STE 106, CHATSWORTH, CA 91311-8247
(818) 274-1843
(818) 789-1061
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 00328498
CA
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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