Organization
ANTELOPE VALLEY HISTOLOGY LLC
Active
Organization
ANTELOPE VALLEY HISTOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GI VARAN MD (OWNER)
(818) 620-5148
Entity
Organization
Contact information
Practice address
44920 VALLEY CENTRAL WAY STE 107, LANCASTER, CA 93536-7260
(805) 578-8300
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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