Organization
ADVANCED MEDICAL ANALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MARION (BILLING MANAGER)
(626) 305-5709
Entity
Organization
Contact information
Practice address
1941 WALKER AVE, MONROVIA, CA 91016-4846
(626) 305-5709
Mailing address
1941 WALKER AVE, MONROVIA, CA 91016-4846
(626) 305-5709
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF10748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB87531G
—
CA
01
—
ZZZ51790Z
BLUE SHIELD PROVIDER
CA
Enumeration date
02/21/2007
Last updated
01/19/2011
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