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Organization

MEDICAL LABORATORY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CIRO RODRIGUEZ (OWNER)
(323) 560-1960
Entity
Organization

Contact information

Practice address
5101 FLORENCE AVE, #2, BELL, CA 90201-3801
(323) 560-1960
(323) 560-1961
Mailing address
5101 FLORENCE AVE, #2, BELL, CA 90201-3801
(323) 560-1960
(323) 560-1961

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
02/05/2016
Last updated
02/05/2016
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