Organization
T. BENSYL CORPORATION
Active
Organization
T. BENSYL CORPORATION
Active
Other names
MTS Clinical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILO E ALLADO M.D. (PRESIDENT/LABORATORY DIRECTOR)
(818) 901-9001
Entity
Organization
Contact information
Practice address
7625 HAYVENHURST AVE, SUITE 21, VAN NUYS, CA 91406-1700
(818) 901-9001
(818) 376-1374
Mailing address
7625 HAYVENHURST AVE, SUITE 21, VAN NUYS, CA 91406-1700
(818) 901-9001
(818) 376-1374
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF4289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D0642836
CLIA
CA
05
—
CLF4289
—
CA
Enumeration date
05/02/2006
Last updated
03/08/2011
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