Organization
NETWORK CYTOPATHOLOGY SERVICES
Active
Other names
KATHLEEN S. VENEGAS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN SPRING VENEGAS CT(ASCP) (OWNER)
(909) 394-9010
Entity
Organization
Contact information
Practice address
301 E ARROW HWY, SUITE 103, SAN DIMAS, CA 91773-3364
(909) 394-9010
(909) 394-4830
Mailing address
301 E ARROW HWY, SUITE 103, SAN DIMAS, CA 91773-3364
(909) 394-9010
(909) 394-4830
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF11100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB07434F
—
CA
Enumeration date
10/10/2005
Last updated
08/22/2020
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