Organization
COGENT DIAGNOSTIC LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON Y. LIU M.D. (PRESIDENT)
(818) 549-1880
Entity
Organization
Contact information
Practice address
931 CALLE NEGOCIO, SUITE R, SAN CLEMENTE, CA 92673-6224
(949) 369-9212
(949) 369-9220
Mailing address
2820 N ONTARIO ST, SUITE 102, BURBANK, CA 91504-2015
(818) 262-6913
(818) 333-7186
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1016771
CA
Other
Enumeration date
07/26/2006
Last updated
09/29/2008
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