Organization
ADVANCED DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS MARILYN WODIN (OWNER)
(805) 341-2482
Entity
Organization
Contact information
Practice address
135 N VICTORY BLVD STE A, BURBANK, CA 91502-1837
(805) 341-2482
(805) 364-5925
Mailing address
135 N VICTORY BLVD STE A, BURBANK, CA 91502-1837
(805) 341-2482
(805) 364-5925
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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