Organization
MEDNITE DIAGNOSTICS
Active
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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