Organization
IMPERIAL CLINICAL & PATHOLOGY LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JUAREZ MD (MANAGER)
(760) 604-4233
Entity
Organization
Contact information
Practice address
2026 N IMPERIAL AVE, EL CENTRO, CA 92243-1607
(760) 592-4351
Mailing address
778 AGUA VISTA DR, CHULA VISTA, CA 91914-4302
(760) 604-4233
(619) 934-4948
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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