Organization
CORONA RADIATA LABS LLC
Active
Organization
CORONA RADIATA LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELYN M DINSAY MD (PRESIDENT)
(818) 246-7245
Entity
Organization
Contact information
Practice address
1810 FULLERTON AVE # 103, CORONA, CA 92881-3103
(818) 246-7245
(818) 246-7265
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2199
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
G85448
CA
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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