Organization
WEST COAST CLINICAL LABORATORIES, INC.
Active
Organization
WEST COAST CLINICAL LABORATORIES, INC.
Active
Other names
Pathology, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE PIERCE (CHIEF FINANCIAL OFFICER)
(310) 225-3148
Entity
Organization
Contact information
Practice address
19951 MARINER AVENUE SUITE 175, TORRANCE, CA 90503-1738
(310) 225-3190
(310) 380-7165
Mailing address
19951 MARINER AVENUE SUITE 175, TORRANCE, CA 90503-1738
(310) 225-3190
(310) 380-7165
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0642839
CLIA
—
05
—
LAB58770F
—
CA
Enumeration date
07/22/2005
Last updated
11/06/2012
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