Organization
LEE HISTOLOGY LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL LEE HT (LAB OWNER)
(707) 528-0166
Entity
Organization
Contact information
Practice address
1212 FARMERS LN, 4, SANTA ROSA, CA 95405-6747
(707) 528-0166
(707) 591-9351
Mailing address
1212 FARMERS LN, 4, SANTA ROSA, CA 95405-6747
(707) 528-0166
(707) 591-9351
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
CA
Other
Enumeration date
03/13/2007
Last updated
07/21/2022
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