Organization
SAN GABRIEL CLINICAL LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTANO DELEON GERONIMO JR. CPT1 (LABORATORY MANAGER)
(626) 281-8190
Entity
Organization
Contact information
Practice address
201 S MISSION DR, SUITE 120, SAN GABRIEL, CA 91776-1164
(626) 281-8190
(626) 281-8129
Mailing address
201 S MISSION DR, SUITE 120, SAN GABRIEL, CA 91776-1164
(626) 281-8190
(626) 281-8129
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF335013
CA
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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