Organization
NEOPATH LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHA JAHANGIRI CLS (CO FOUNDER)
(949) 557-7447
Entity
Organization
Contact information
Practice address
4 SORA CT, ALISO VIEJO, CA 92656-1851
(949) 557-7447
Mailing address
4 SORA CT, ALISO VIEJO, CA 92656-1851
(949) 557-7447
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A13191539
—
CA
Enumeration date
06/05/2024
Last updated
06/05/2024
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