Organization
MEDICAL CLINICAL LABORATORY, INC.
Active
Organization
MEDICAL CLINICAL LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY ALCANTAR (PRESIDENT)
(310) 829-2608
Entity
Organization
Contact information
Practice address
2216 SANTA MONICA BLVD, STE 101, SANTA MONICA, CA 90404-2309
(310) 829-2608
(310) 829-3230
Mailing address
2216 SANTA MONICA BLVD, STE 101, SANTA MONICA, CA 90404
(310) 829-2608
(310) 829-3230
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF1884
CA
Other
Enumeration date
07/19/2006
Last updated
08/22/2020
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