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Organization

MEDNITE DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANINE SHAMOUN (BILLER)
(818) 642-8778
Entity
Organization

Contact information

Practice address
5620 WILBUR AVE, SUITE 209, TARZANA, CA 91356-1351
(818) 708-3703
(818) 705-6999
Mailing address
10020 ZELZAH AVE #106, NORTHRIDGE, CA 91325
(818) 232-3199
(818) 276-1926

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
DO93447
CA

Other

Enumeration date
12/22/2006
Last updated
08/31/2010
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