Organization
GLEESON CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMOLIDDIN AKRAMOV (CEO)
(818) 787-6080
Entity
Organization
Contact information
Practice address
14434 HAMLIN ST, STE 3, VAN NUYS, CA 91401-1461
(818) 787-6080
Mailing address
14434 HAMLIN ST, STE 3, VAN NUYS, CA 91401-1461
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2012667
CA
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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