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Organization

LIBERTY LABORATORY LLC

Active
Parent organization
LIBERTY LABORATORY LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIBERTY LABORATORY LLC
Authorized official
MRS. ROCHELLE ALI MA (MANAGER)
(714) 593-5356
Entity
Organization

Contact information

Practice address
10760 WARNER AVE STE 201, FOUNTAIN VALLEY, CA 92708-3857
(714) 593-5356
(714) 593-5366
Mailing address
10760 WARNER AVE STE 201, FOUNTAIN VALLEY, CA 92708-3857
(714) 593-5356
(714) 593-5366

Taxonomy

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

Other

Enumeration date
06/24/2015
Last updated
06/24/2015
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