Organization
ORANGE TOXICOLOGY LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAM KARRUMI (OWNER)
(909) 522-0921
Entity
Organization
Contact information
Practice address
1535 S D ST FL 2, SAN BERNARDINO, CA 92408-3253
(909) 522-0921
(909) 522-0991
Mailing address
1535 S D ST FL 2, SAN BERNARDINO, CA 92408-3253
(909) 522-0921
(909) 522-0991
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
349154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLF00349154
CA LICENSE NUMBER
CA
Enumeration date
09/16/2016
Last updated
04/04/2023
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