Organization
COGENT DIAGNOSTIC LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY D MCCULLUM (PRESIDENT)
(818) 333-7177
Entity
Organization
Contact information
Practice address
15326 CORNET ST, SANTA FE SPRINGS, CA 90670-5532
(562) 404-0626
Mailing address
941 CALLE NEGOCIO, SUITE R, SAN CLEMENTE, CA 92673-6202
(949) 369-9212
(949) 369-9220
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/16/2009
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