Organization
LABORATORY PRACTICE, INC.
Active
Organization
LABORATORY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVIZ BAHADORI PHD (DIRECTOR)
(714) 775-9000
Entity
Organization
Contact information
Practice address
10301 BOLSA AVE, SUITE 204, WESTMINSTER, CA 92683-6784
(714) 775-9000
(714) 531-1861
Mailing address
10301 BOLSA AVE, SUITE 204, WESTMINSTER, CA 92683-6784
(714) 775-9000
(714) 531-1861
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LAB58511F
CA
Other
Enumeration date
02/08/2006
Last updated
08/22/2020
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