Organization
LAGUNA DX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETERS (OWNER)
(702) 203-7301
Entity
Organization
Contact information
Practice address
31542 COAST HWY STE 3, LAGUNA BEACH, CA 92651-6987
(702) 203-7301
Mailing address
601 S 10TH ST STE 201A, LAS VEGAS, NV 89101-7027
(702) 203-7301
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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