Organization
PATHOLOGY ASSOCIATES LABORATORY OF SOUTHERN CALIFORNIA
Active
Organization
PATHOLOGY ASSOCIATES LABORATORY OF SOUTHERN CALIFORNIA
Active
Other names
Pathology Associates Laboratory of Southern California Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XIANGDONG BU MD (DIRECTOR)
(714) 818-0600
Entity
Organization
Contact information
Practice address
520 N BROOKHURST ST # 228, ANAHEIM, CA 92801
(714) 818-0600
(714) 590-4888
Mailing address
520 N BROOKHURST ST # 228, ANAHEIM, CA 92801
(714) 818-0600
(714) 590-4888
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB51370F
—
CA
Enumeration date
09/23/2013
Last updated
09/17/2020
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