Organization
AVELLINO LAB USA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KORNEY (CHIEF OPERATING OFFICER)
(650) 396-3741
Entity
Organization
Contact information
Practice address
1505 ADAMS DR, SUITE B2, MENLO PARK, CA 94025-1450
(650) 396-3741
Mailing address
1505 ADAMS DR, SUITE B2, MENLO PARK, CA 94025-1450
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2048075
CA
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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