Organization
MEDICAL DIAGNOSTIC ALLERGY TESTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILY GOH (OFFICE MANAGER)
(714) 669-4490
Entity
Organization
Contact information
Practice address
14642 NEWPORT AVENUE, 250, TUSTIN, CA 92780
(714) 669-4490
(714) 669-4455
Mailing address
14642 NEWPORT AVENUE, 250, TUSTIN, CA 92780
(714) 669-4490
(714) 669-4455
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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