Organization
DIVERSIFIED BIOPHARMA SOLUTIONS, INC
Active
Other names
DIVERSIFIED CLINICAL LABORATORIES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W WEKESA PH.D. (VICE PRESIDENT/ LAB ADMINISTRATOR)
(800) 487-9036
Entity
Organization
Contact information
Practice address
1920 RIVERVIEW DR, SUITE 340, SAN BERNARDINO, CA 92408-3003
(800) 487-9036
(909) 748-5012
Mailing address
25612 BARTON RD, SUITE 340, LOMA LINDA, CA 92354-3110
(800) 487-9036
(909) 748-5012
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLS339518
CA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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