Organization
LIFEQUEST DIAGNOSTIC, INC.
Active
Organization
LIFEQUEST DIAGNOSTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RODA L PADERNA (CHIEF EXECUTIVE OFFICER CEO)
(714) 290-5440
Entity
Organization
Contact information
Practice address
720 N VALLEY ST, STE F, ANAHEIM, CA 92801-3830
(714) 290-5440
(855) 844-9188
Mailing address
3595 INLAND EMPIRE BLVD BLDG 4, SUITE 200, ONTARIO, CA 91764-5920
(909) 770-4403
(855) 844-9188
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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