Organization
A&S DIAGNOSTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEI SHIBKOV (PRESIDENT)
(310) 419-9556
Entity
Organization
Contact information
Practice address
301 N PRAIRIE AVE, INGLEWOOD, CA 90301-4507
(310) 419-9556
(310) 419-9506
Mailing address
301 N PRAIRIE AVE, INGLEWOOD, CA 90301-4507
(310) 419-9556
(310) 419-9506
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
RDMS35487
CA
Other
Enumeration date
04/04/2007
Last updated
07/28/2008
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