Organization
PACIFIC MEDICAL LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALAL ZARGHAMI PH.D. (COO)
(714) 972-2222
Entity
Organization
Contact information
Practice address
15 CORPORATE PARK, IRVINE, CA 92606-5119
(714) 972-2222
(714) 972-2221
Mailing address
15 CORPORATE PARK, IRVINE, CA 92606-5119
(714) 972-2222
(714) 972-2221
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1094914
—
291U00000X
Clinical Medical Laboratory
CLF 338244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1094914
CLIA
CA
01
—
CLF 338244
CALIFORNIA STATE LINCENSE NO
CA
Enumeration date
03/02/2009
Last updated
01/08/2020
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