Organization
NOHO CLINICAL LABORATORIES INC
Active
Organization
NOHO CLINICAL LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEKSANDR DMYTRIIEV (CEO)
(818) 487-2900
Entity
Organization
Contact information
Practice address
11024 MAGNOLIA BLVD, SUITE C, NORTH HOLLYWOOD, CA 91601-3810
(818) 487-2900
(818) 487-0800
Mailing address
11024 MAGNOLIA BLVD, SUITE C, NORTH HOLLYWOOD, CA 91601-3810
(818) 487-2900
(818) 487-0800
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF333110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1056363
CLIA #
CA
Enumeration date
08/23/2006
Last updated
11/03/2008
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