Organization
NATIONAL TOXICOLOGY LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C SNEATH (PRESIDENT)
(661) 322-4250
Entity
Organization
Contact information
Practice address
1100 CALIFORNIA AVE, BAKERSFIELD, CA 93304-1402
(661) 322-4250
(661) 322-4322
Mailing address
1100 CALIFORNIA AVE, BAKERSFIELD, CA 93304-1402
(661) 322-4250
(661) 322-4322
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0667354
CENTERS FOR MEDICARE & MEDICAID SERVICES - CLIA
CA
01
—
LAB04701F
MEDI-CAL
CA
Enumeration date
03/03/2010
Last updated
03/18/2011
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