Organization
21053 DEVNSHIRE 106
Active
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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