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Organization

LABORATORY INDUSTRY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE PAVLIK (MEDICAL LIAISON)
(310) 474-9809
Entity
Organization

Contact information

Practice address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
11/17/2009
Last updated
11/17/2009
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