Organization
MDL MEDICAL DIAGNOSIS LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIALIK BENJAMIN (PRESIDENT)
(818) 815-2200
Entity
Organization
Contact information
Practice address
14250 ARMINTA ST, PANORAMA CITY, CA 91402-6871
(818) 815-2200
(818) 760-0520
Mailing address
PO BOX 2098, NORTH HILLS, CA 91393-2098
(818) 815-2200
(818) 760-0520
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB49477F
—
CA
Enumeration date
03/05/2007
Last updated
10/30/2009
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