Organization
OLYMPUS LAB GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAISA AYTAYAN (CEO)
(818) 714-2555
Entity
Organization
Contact information
Practice address
10718 RIVERSIDE DR # B, TOLUCA LAKE, CA 91602-2313
(818) 714-2555
(818) 377-2505
Mailing address
10718 RIVERSIDE DR # B, TOLUCA LAKE, CA 91602-2313
(818) 714-2555
(818) 377-2505
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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