Organization
LUCIDDX LABS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN O'NEIL (PRESIDENT AND COO)
(518) 812-3087
Entity
Organization
Contact information
Practice address
14 ORCHARD RD, LAKE FOREST, CA 92630
(317) 697-6209
Mailing address
14 ORCHARD, LAKE FOREST, CA 92630-8310
(917) 813-1828
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
03/20/2024
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