Organization
BLUESTONE LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RICHARDSON (PRESIDENT)
(909) 556-2644
Entity
Organization
Contact information
Practice address
1027 S MOUNT VERNON AVE, SUITE # E, COLTON, CA 92324-6503
(909) 964-9350
Mailing address
1027 S MOUNT VERNON AVE, SUITE # E, COLTON, CA 92324-6503
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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