Organization
DENIS SAVENKO
Active
Other names
CENTRAL COAST MEDICAL LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS SAVENKO (OWNER)
(918) 815-2402
Entity
Organization
Contact information
Practice address
3101 N HEMLOCK CIR, SUITE 100, BROKEN ARROW, OK 74012-1103
(918) 815-2402
Mailing address
5632 VAN NUYS BLVD, SUITE 333, VAN NUYS, CA 91401-4602
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/15/2007
Last updated
07/15/2007
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