Organization
LIQUIDX LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE PARKER (DIRECTOR OF OPERATIONS)
(530) 306-2488
Entity
Organization
Contact information
Practice address
1403 W OAK ST, STOCKTON, CA 95203-2607
(209) 323-4126
Mailing address
1403 W OAK ST, STOCKTON, CA 95203-2607
(209) 323-4126
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/05/2015
Last updated
08/24/2015
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