Organization
LARCHMONT DIAGNOSTIC LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY PERSONOV (CEO)
(323) 461-9100
Entity
Organization
Contact information
Practice address
321 N LARCHMONT BLVD, 425, LOS ANGELES, CA 90004-3025
(323) 461-9100
(323) 461-9120
Mailing address
321 N LARCHMONT BLVD, 425, LOS ANGELES, CA 90004-3025
(323) 461-9100
(323) 461-9120
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
07/21/2008
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