Organization
WHITEFIELD MEDICAL LABORATORY INC
Active
Other names
WHITEFIELD RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
JATIN LAXPATI (CEO/PRESIDENT)
(909) 622-3166
Entity
Organization
Contact information
Practice address
1818 N ORANGEGROVE AVE, SUITE 101, POMONA, CA 91767
(909) 622-3166
(909) 622-8046
Mailing address
1818 N ORANGEGROVE AVE, SUITE 101, POMONA, CA 91767
(909) 622-3166
(909) 622-8046
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A334740
—
CA
05
—
GR0083060
—
CA
Enumeration date
09/12/2007
Last updated
01/28/2009
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