Organization
RELIATOX LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAHROKH EBRAHIMIAN (CFO)
(888) 435-7201
Entity
Organization
Contact information
Practice address
516 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(888) 435-7201
Mailing address
516 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(888) 435-7201
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2064523
CA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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