Organization
CANDU LAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GURROLA (MANAGER)
(818) 782-0000
Entity
Organization
Contact information
Practice address
6650 RESEDA BLVD, 1 04, RESEDA, CA 91335-5340
(818) 782-0000
Mailing address
6650 RESEDA BLVD, 1 04, RESEDA, CA 91335-5340
(818) 782-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
CA
Other
Enumeration date
11/07/2009
Last updated
11/07/2009
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