Organization
NO 206 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MYERS (CEO)
(213) 840-1161
Entity
Organization
Contact information
Practice address
4215 GLENCOE AVE UNIT 121, MARINA DEL REY, CA 90292-4622
(213) 840-1161
Mailing address
4215 GLENCOE AVE UNIT 121, MARINA DEL REY, CA 90292-4622
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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