Organization
WALL MEDICAL INC
Active
Other names
PMC Laboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY BROOKS (OFFICE MANAGER)
(650) 636-1291
Entity
Organization
Contact information
Practice address
455 GRAND AVE, SOUTH SAN FRANCISCO, CA 94080-3635
(650) 952-2420
(650) 871-8076
Mailing address
2001 UNION ST, SUITE 300, SAN FRANCISCO, CA 94123-4114
(415) 447-6899
(415) 447-6894
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA # 05D0693988
CA
Other
Enumeration date
09/14/2006
Last updated
10/24/2008
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