Organization
LAB360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALIN SISLYAN (COO)
(818) 800-9702
Entity
Organization
Contact information
Practice address
347 MILFORD ST UNIT 102, GLENDALE, CA 91203-2291
(818) 800-9702
Mailing address
347 MILFORD ST UNIT 102, GLENDALE, CA 91203-2291
(818) 800-9702
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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