Organization
AJA LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON LEVINE PHD (MEMBER)
(813) 644-7753
Entity
Organization
Contact information
Practice address
11150 W OLYMPIC BLVD, SUITE 760, LOS ANGELES, CA 90064-1817
(813) 644-7753
(888) 482-2405
Mailing address
11150 W OLYMPIC BLVD, SUITE 760, LOS ANGELES, CA 90064-1817
(813) 644-7753
(888) 482-2405
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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