Organization
L&G LABORATORY INC
Active
Organization
L&G LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHSAN BASEER PHD., CLS (TECHNICAL SUPERVISOR)
(714) 493-1224
Entity
Organization
Contact information
Practice address
14546 HAMLIN ST., UNIT 110, VAN NUYS, CA 91411
(818) 479-3548
(818) 450-0860
Mailing address
14546 HAMLIN ST., UNIT 110, VAN NUYS, CA 91411
(818) 479-3548
(818) 450-0860
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLF-90009918
STATE LABORATORY LICENSE NUMBER
CA
Enumeration date
08/08/2023
Last updated
08/08/2023
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