Organization
OC HOME PHLEBOTOMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MATTHEW HAYWARD (OWNER/PHLEBOTOMIST)
(949) 939-6729
Entity
Organization
Contact information
Practice address
41 VIA LAVENDERA, RSM, CA 92688-1473
(949) 939-6729
Mailing address
41 VIA LAVENDERA, RSM, CA 92688-1473
(949) 939-6729
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CPT00053243
CA
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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