Organization
REDWOOD DIAGNOSTICS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP JOHN VOGELSANG M.D., PH.D. (MEDICAL DIRECTOR)
(707) 826-1342
Entity
Organization
Contact information
Practice address
3798 JANES RD STE 12, ARCATA, CA 95521-4745
(707) 826-1342
Mailing address
3798 JANES RD STE 12, ARCATA, CA 95521-4745
(707) 826-1342
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF 10079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB77806F
—
CA
Enumeration date
08/29/2006
Last updated
10/24/2007
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