Organization
CORE LABS AND DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHLOE GOLDSTEIN (CEO)
(209) 414-7553
Entity
Organization
Contact information
Practice address
4719 QUAIL LAKES DR, STOCKTON, CA 95207-8140
(209) 414-7553
Mailing address
4138 BLAKE CIR, STOCKTON, CA 95206-6513
(209) 414-7553
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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