Organization
BZD LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS DOBRIN (CEO)
(323) 574-3797
Entity
Organization
Contact information
Practice address
512 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(323) 574-3797
Mailing address
512 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(323) 524-9357
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2234828
CLIA ID
CA
Enumeration date
02/09/2022
Last updated
09/01/2022
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