Organization
MYRA CONSORTIUM
Active
Organization
MYRA CONSORTIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MYERS (CEO)
(213) 840-1161
Entity
Organization
Contact information
Practice address
7602 EARLDOM AVE, PLAYA DEL REY, CA 90293-8004
(213) 840-1161
Mailing address
7602 EARLDOM AVE, PLAYA DEL REY, CA 90293-8004
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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