Organization
CORONA PATHOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVORK DEYIRMENJIAN (VIC)
(818) 566-1891
Entity
Organization
Contact information
Practice address
4444 W RIVERSIDE DR, SUITE 308, BURBANK, CA 91505-4073
(818) 566-1891
Mailing address
4444 W RIVERSIDE DR, SUITE 308, BURBANK, CA 91505-4073
(818) 566-1891
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00003712
CA
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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