Organization
PAN LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOTHIBAI PANDIAN (CEO)
(949) 336-4800
Entity
Organization
Contact information
Practice address
15375 BARRANCA PKWY, SUITE - E-101, IRVINE, CA 92618-2217
(949) 336-4800
(949) 336-4801
Mailing address
15375 BARRANCA PKWY, SUITE - E-101, IRVINE, CA 92618-2217
(949) 336-4800
(949) 336-4801
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF00343493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2051927
CLIA
CA
Enumeration date
06/05/2013
Last updated
06/05/2013
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