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Organization

ATCG LABORATORY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YTHAN LINGAT (CEO)
(949) 740-4497
Entity
Organization

Contact information

Practice address
17881 SKY PARK CIR # D-22, IRVINE, CA 92614-6304
(949) 740-4497
Mailing address
17881 SKY PARK CIR # D-22, IRVINE, CA 92614-6304
(949) 740-4497

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D2104354
CLIA
CA
05
CLF-00348523
CA
Enumeration date
01/09/2025
Last updated
12/07/2025
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