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Organization

MAGNABLOOM LLC

Active
Other names
South Bay Laboratories
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN NAPITUPULU (MANAGER)
(310) 975-4532
Entity
Organization

Contact information

Practice address
1403 LOMITA BLVD STE 302, HARBOR CITY, CA 90710-2085
(424) 482-8789
Mailing address
1403 LOMITA BLVD STE 302, HARBOR CITY, CA 90710-2085
(424) 482-8789

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
06/11/2024
Last updated
06/12/2024
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