Organization
LABORATORY SERVICES DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE TRAN (PRINCIPAL)
(714) 363-2317
Entity
Organization
Contact information
Practice address
245 FISCHER AVE STE A2, COSTA MESA, CA 92626-4536
(714) 363-2317
Mailing address
245 FISCHER AVE STE A2, COSTA MESA, CA 92626-4536
(714) 363-2317
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/11/2022
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