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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