Organization
GENSTAR LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED DECASTRO NP (COO)
(714) 273-1453
Entity
Organization
Contact information
Practice address
407 W IMPERIAL HWY STE H-209, BREA, CA 92821-4832
(714) 273-1453
Mailing address
407 W IMPERIAL HWY STE H-209, BREA, CA 92821-4832
(714) 273-1453
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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