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Organization subpart
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Provider details

NPI number
Authorized official
ANDREA MCNEIL (BILLING MGR)
(916) 241-4000
Entity
Organization

Contact information

Practice address
3637 MISSION AVE STE 5 BLDG A, CARMICHAEL, CA 95608-2946
(707) 429-7844
Mailing address
3637 MISSION AVE STE 5 BLDG A, CARMICHAEL, CA 95608-2946
(916) 863-1496

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CA

Other

Enumeration date
08/01/2006
Last updated
07/21/2022
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