Organization
TEKOTEST LAB INC
Active
Other names
TEKOTEST LAB INC, Tekotest Laboratory Inc
Organization subpart
No
Provider details
NPI number
Authorized official
AHSAN BASEER PHD (TECHNICAL CONSULTANT)
(714) 493-1224
Entity
Organization
Contact information
Practice address
3111 WINONA AVE UNIT 102, BURBANK, CA 91504-2538
(818) 861-7775
Mailing address
3111 WINONA AVE UNIT 102, BURBANK, CA 91504-2538
(818) 861-7775
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2260410
CLIA
CA
Enumeration date
05/27/2022
Last updated
05/27/2022
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