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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