Organization
BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES
Active
Organization
BLOOD BANK OF SAN BERNARDINO AND RIVERSIDE COUNTIES
Active
Other names
LifeStream
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK B AXELROD M.D. , MBA (PRESIDENT/CEO/MEDICAL DIRECTOR)
(909) 885-6503
Entity
Organization
Contact information
Practice address
384 W ORANGE SHOW RD, SAN BERNARDINO, CA 92408-2028
(909) 885-6503
(909) 381-2036
Mailing address
PO BOX 5729, SAN BERNARDINO, CA 92412-5729
(909) 885-6503
(909) 381-2036
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
CLF3556
CA
331L00000X
Blood Bank
Primary
9021
CA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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