Organization
LIFE TECHNOLOGIES CLINICAL SVCS LAB INC.
Active
Organization
LIFE TECHNOLOGIES CLINICAL SVCS LAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN EUGENE WELLS SR. (SR. MANAGER LABORATORY OPERATIONS)
(760) 717-6239
Entity
Organization
Contact information
Practice address
910 RIVERSIDE PARKWAY, SUITE 60, WEST SACRAMENTO, CA 95605-1510
(888) 734-8588
(855) 896-0909
Mailing address
910 RIVERSIDE PARKWAY, SUITE 60, WEST SACRAMENTO, CA 95605-1510
(888) 734-8588
(855) 896-0909
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1067109
CA
Other
Enumeration date
10/31/2012
Last updated
03/18/2014
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