Organization
WESTERN LABORATORIES
Active
Other names
Western Laboratory Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH TREYNOR MD (MANAGING PARTNER)
(510) 814-4305
Entity
Organization
Contact information
Practice address
2070 CLINTON AVE, ALAMEDA, CA 94501-4320
(510) 814-4305
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0014622
—
CA
Enumeration date
04/04/2006
Last updated
04/12/2017
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