Organization
CRESTVIEW CLINICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN NGUYEN (PRESIDENT)
(877) 429-6607
Entity
Organization
Contact information
Practice address
5 HOLLAND #209, IRVINE, CA 92618-2576
(562) 210-6571
(562) 888-8262
Mailing address
5 HOLLAND #209, IRVINE, CA 92618-2576
(877) 429-6607
(562) 888-8840
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/02/2015
Last updated
12/02/2021
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