Individual
AHSAN BASEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., MT(ASCP), CLS
Contact information
Practice address
1888 W 6TH ST, SUITE H, CORONA, CA 92882-2993
(951) 735-9190
(951) 340-2846
Mailing address
1888 W 6TH ST, SUITE H, CORONA, CA 92882-2993
(951) 735-9190
(951) 340-2846
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF4840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0543719
CLIA
CA
05
—
LAB54371G
—
CA
Enumeration date
06/05/2008
Last updated
06/05/2008
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