Organization
SERENITY DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ALLEN STRINGFELLOW (MANAGING MEMBER)
(916) 903-3067
Entity
Organization
Contact information
Practice address
6204 MARY JEAN PL, ELK GROVE, CA 95758-6111
(916) 903-3067
(916) 290-0574
Mailing address
6204 MARY JEAN PL, ELK GROVE, CA 95758-6111
(916) 903-3067
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
201816310597
CA
291U00000X
Clinical Medical Laboratory
201816310597
CA
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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