Organization
C&K LAB SERVICES, INC.
Active
Other names
BIO TECH CLINICAL Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E. NICHOLSON (CEO/PRESIDENT)
(562) 906-5227
Entity
Organization
Contact information
Practice address
3923 WARING ROAD, SUITE C, OCEANSIDE, CA 92056-4457
(760) 724-9231
(760) 724-0670
Mailing address
3923 WARING ROAD, SUITE C, OCEANSIDE, CA 92056-4457
(760) 724-9231
(760) 724-0670
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
CLF 11198
CA
291U00000X
Clinical Medical Laboratory
Primary
CLF11198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0915223
CLIA NUMBER
CA
01
—
246200
PIN NUMBER
CA
01
—
CLF 11198
LABORATORY LICENSE
CA
01
—
CLF11198
LABORATORY LICENSE
CA
05
—
LAB15223F
—
CA
Enumeration date
07/22/2006
Last updated
08/28/2012
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