Organization
MEDICAL ASSOCIATES LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADIP KUMAR RUSTAGI MD (MEDICAL DOCTOR)
(650) 324-0447
Entity
Organization
Contact information
Practice address
770 WELCH RD STE 380, PALO ALTO, CA 94304-1523
(650) 324-0447
(650) 324-2557
Mailing address
770 WELCH RD STE 380, PALO ALTO, CA 94304-1523
(650) 324-0447
(650) 324-2557
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
G83670
CA
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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