Organization
CIOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P MCGRATH (PRESIDENT)
(951) 509-0246
Entity
Organization
Contact information
Practice address
4130 FLAT ROCK DR STE 150, RIVERSIDE, CA 92505-5865
(951) 509-0246
Mailing address
4130 FLAT ROCK DR STE 150, RIVERSIDE, CA 92505-5865
(951) 509-0246
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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