Organization
EXPRESS RELIABLE DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA GOLDRING (PRESIDENT)
(818) 293-8049
Entity
Organization
Contact information
Practice address
19634 VENTURA BLVD STE 315, TARZANA, CA 91356-2995
(818) 293-8049
(818) 708-2167
Mailing address
19634 VENTURA BLVD STE 315, TARZANA, CA 91356-2995
(818) 293-8049
(818) 708-2167
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
04/05/2011
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