Organization
CONSOLAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR EFIMENKO (PRESIDENT)
(818) 742-8716
Entity
Organization
Contact information
Practice address
6333 WOODMAN AVE, SUITE K, VAN NUYS, CA 91401-2361
(818) 742-8716
Mailing address
6333 WOODMAN AVE, SUITE K, VAN NUYS, CA 91401-2361
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1090253
CA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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