Organization
PATHLAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C HISERODT MD (PRESIDENT)
(714) 902-1762
Entity
Organization
Contact information
Practice address
7707 GARDEN GROVE BLVD, GARDEN GROVE, CA 92841-4207
(714) 902-1762
(657) 400-9073
Mailing address
7707 GARDEN GROVE BLVD, GARDEN GROVE, CA 92841-4207
(714) 902-1762
(657) 400-9073
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00340712
CA
Other
Enumeration date
02/19/2011
Last updated
11/15/2017
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