Organization
ALLSTATE INVESTMENT REALTY INC
Active
Organization
ALLSTATE INVESTMENT REALTY INC
Active
Other names
Northwest Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE AVEDISSIAN (PRESIDENT)
(818) 752-6030
Entity
Organization
Contact information
Practice address
10133 RIVERSIDE DR, TOLUCA LAKE, CA 91602-2533
(818) 752-6030
(818) 752-6033
Mailing address
10133 RIVERSIDE DR, TOLUCA LAKE, CA 91602-2533
(818) 752-6030
(818) 752-6033
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF10750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB8782F
—
CA
Enumeration date
05/26/2006
Last updated
01/11/2013
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