Organization
ACHIEVE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PARKS (MEMBER)
(760) 846-4578
Entity
Organization
Contact information
Practice address
3770 TANSY ST STE 101A, SAN DIEGO, CA 92121-1550
(619) 314-5883
Mailing address
8156 ROUTE 237, LE ROY, NY 14482-9324
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
06/13/2024
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