Organization
SAINT BENEDICT MEDICAL GROUP CLINICAL LABORATORY
Active
Organization
SAINT BENEDICT MEDICAL GROUP CLINICAL LABORATORY
Active
Parent organization
SAINT BENEDICT MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT BENEDICT MEDICAL GROUP
Authorized official
JACOB EDEM (ADMINISTRATOR)
(213) 479-5324
Entity
Organization
Contact information
Practice address
11117 S INGLEWOOD AVE, LENNOX, CA 90304-2514
(310) 256-6586
(310) 672-5900
Mailing address
11117 S INGLEWOOD AVE, LENNOX, CA 90304-2514
(310) 256-6586
(310) 672-5900
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
291U00000X
CA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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